... Superior HealthPlan 5900 E. Ben White Blvd. Superior HealthPlan has a program for CHIP Perinatal Care that is part of Texas’ Children’s Health Insurance Program (CHIP). These are called Value-added Services*. You will not be able to choose a … Our site has been designed to help you get your job done. Superior HealthPlan's Pharmacy department aims to promote high-quality care and judicious use of prescribed medications for Superior members. También pueden ayudarlo a conseguir los siguientes datos acerca del proveedor: Welcome to Superior HealthPlan Superior HealthPlan provides health care for Medicaid and CHIP members across Texas. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Superior HealthPlan! Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Online social services resource directory. To make sure you do not go over your cost-sharing limit, please keep track of your CHIP-related expenses on this form. Save User Name. The confirmatory laboratory tests are conducted by private laboratories, and are later billed to the health plans. The online visits are a covered benefit for Texas Children’s Health Plan members. Texas Children’s Health Plan Provider Manual ... 1-800-731-8527 | TexasChildrensHealthPlan.org ND-0218-315 03-2018 STAR/Medicaid Children’s Health Insurance Program (CHIP) Austin Brazoria Chambers Fort Bend Galveston Austin Brazoria Chambers Fort Bend Galveston Hardin ... CHIP PERINATAL OBJECTIVES ..... 154 XXXV. At Superior, Texas CHIP members can get many great services in addition to their regular benefits. Texas CHIP Perinatal Benefits. We began in El Paso in 1999; today, Superior has 10 office locations and serves members in all 254 counties across the state. Up to 20 prenatal visits; Prescriptions and prenatal vitamins; Labor with delivery of the baby; Two checkups for the mother after the baby is born Superior HealthPlan, Winter/Invierno 2017 Member Services / Servicios para Miembros 1-800-783-5386 1 BE48-C-1217. Find a General Surgeon who accepts Superior Health Plan CHIP Perinate near you in Houston, TX. CHIP perinatal coverage provides care to unborn children of pregnant women who are not eligible for Medicaid and who have household income up to 202 percent of the federal poverty income level (FPIL). The Tools You Need Now! To get CHIP perinatal, you must: Meet certain income requirements. Learn more about the benefits and services that are available. Superior HealthPlan CHIP Member Handbook Statement of Non-Discrimination Superior HealthPlan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Typically, confirmatory testing and treatment are recommended by metabolic specialists. Call our 24 hour nurse help line at 1-800-686-3831 or TDD 1-800-735-2989. Manage all products with ease in one location Since 2008 Superior has also been the only provider of the STAR Health program, offering coverage to children and youth in foster care. ... or computer. If you need help, call Member Services toll-free at 1-866-959-2555 (STAR), 1-866-959-6555 (CHIP), or 1-800-659-5764 (STAR Kids). Texas State Children’s Health Insurance Plan (CHIP) Medicaid Health Insurance by Molina Healthcare Welcome to Superior HealthPlan Superior HealthPlan provides health care for Medicaid and CHIP members across Texas. They can answer your health questions 24 hours a day, 7 days a week. CHIP members who are Native American or Alaskan Native do not have any cost-sharing. Superior HealthPlan is proud to offer many extra services to keep our members healthy. Superior members can get Value-added Services in addition to their regular benefits. Estos beneficios están diseñados para proporcionar servicios prenatales a los futuros bebés de mujeres embarazadas de bajos ingresos, que no califican para Medicaid. Superior HealthPlan cuenta con el programa CHIP Perinatal Care que forma parte del Programa de Seguro Médico para Niños (CHIP) de Texas. See all General Surgeon office locations in Houston that accept Superior Health Plan CHIP … We Do More for Moms-To-Be. Superior HealthPlan CHIP Member Handbook III Statement of Non-Discrimination Superior HealthPlan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. CHIP PERINATE PROGRAM-SOB-03.01.12 CHIP Perinate Program Unborn Schedule of Benefits Covered Benefit Limitations Co-payments Inpatient General Acute Services include: Covered medically necessary Hospital-provided services Operating, recovery and other treatment rooms Anesthesia and administration (facility technical component) Above 151% up to and including 186% of FPL, Above 186% up to and including 201% of FPL. Click here to learn more about CHIP Perinatal. We will issue a new Superior Member ID card for your child. Superior works with many doctors, clinics, and hospitals in your community to give you the medical care you need. Unlike CHIP, there is no 90-day waiting period before coverage can begin and no CHIP asset test before enrollment. Also through this program, pregnant women may be eligible for coverage through CHIP Perinate. These are called Value-added Services*. CHIP Perinatal services, under the CHIP program, offer health-care benefits to unborn children of pregnant women who can’t get Medicaid or traditional CHIP due to income or immigration status. CHIP is for families when their income is too high for Medicaid but they can't afford other insurance. WorldCare Health, Wellness and Fitness Boston, MA 378 followers The WorldCare Difference-the art of the medical second opinion: 25+ years experience, superior clinical rigor & impact You will need Adobe Reader to open PDFs on this site. Your baby’s health is important, and we’re here to help you stay focused on it. This directory lists the Primary Care Providers (PCPs) that are on Superior’s list of primary care doctors and clinics. Discover Superior HealthPlan. Value-added Services are extra health care services offered by Superior. Volume 128 No. Ellos le pueden brindar el número, dirección y teléfono de un doctor o un especialista. A member newsletter with tips on keeping you and your family healthy. These benefits are designed to provide prenatal services to unborn children of pregnant low-income women, who do not qualify for Medicaid. By providing your email address, you are opting to receive healthplan information and marketing email communications. There are no copays for pregnancy related assistance either. The Children’s Health Insurance Program (CHIP) Perinatal Care offers prenatal care to the unborn baby of pregnant women who cannot get Medicaid. You may need to choose another health plan if you moved to an area that is not covered by Texas Children’s Health Plan. Superior HealthPlan is a managed healthcare company that provides healthcare to 1.3 million Texas residents. Members enrolled in Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) or CHIP who are prescribed antipsychotic medications are subject to additional screening and monitoring. From extra vision care to cell phones and car seats, Superior is proud to offer many extra services to help keep our members healthy. ** YMCA Value-added Service excludes CHIP Perinate members. *The federal poverty level (FPL) refers to income guidelines established annually by the federal government. Recibir atención médica: para miembros de Medicaid y CHIP. Unlike CHIP, there is no 90-day waiting period before coverage can begin and no CHIP asset test before enrollment. MARCH 28, 2020 - APRIL 3, 2020. Not qualify for Medicaid. Once born, the child will receive Medicaid or CHIP benefits, depending on their income. They will notify Superior. Pregnant women without health insurance might be able to get free health coverage during their pregnancy through Medicaid for Pregnant Women or the CHIP Perinatal program. The Member Guide you received from CHIP when you enrolled your child in CHIP insurance in Texas includes a tear-out form that you should use to track your CHIP expenses. Contracted CHIP or CHIP perinatal providers should contact the CHIP … From extra vision care to cell phones and car seats, Superior is proud to offer many extra services to help keep our Texas CHIP Perinatal members healthy. After the twelve months of coverage ends, you can apply through the state CHIP office to have your baby covered under the CHIP program. The coverage begins when you enroll the unborn baby while you are pregnant. The table below lists the CHIP copayment schedule. Superior also offers CHIP Perinatal Newborn coverage in Texas. What is CHIP Perinatal? Discover Superior HealthPlan. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required. 1.9.3 A Care Coordinator employed or contracted by the Medicare/Medicaid Integrated Health Plan or Primary Care Provider. Superior HealthPlan has a program for CHIP Perinatal Care that is part of Texas’ Children’s Health Insurance Program (CHIP). Washington Inside. Superior members receive important benefits such as: Access to Superior’s nurse advice line. Access to a list of providers and health plan information at www.SuperiorHealthPlan.com. Your child’s Superior ID card lists the copayments that apply to your family. Regular checkups, immunizations, prescriptions and other CHIP Perinatal health-care benefits for the baby after leaving the hospital. CHIP Perinatal Schedule of Benefits (Unborn) Evidence of Coverage (Born) ... Children’s Health Insurance Program $50 or less a year can cover all of your kids. Simply call Superior Member Services. Coronavirus Disease Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. This includes enrollment fees and co-pays. More information for our Texas program can be found in the CHIP handbook. Superior offers CHIP Perinatal Care in the following areas: CHIP Perinatal benefits in Texas include: More information can be found in the CHIP handbook. You will need Adobe Reader to open PDFs on this site. If you lose your welcome letter, please call CHIP at 1-800-647-6558. How to bill CHIP Perinatal postpartum visits: • CPT code 59430 (postpartum care only) • Diagnosis code Z39.2 (postpartum follow-up) Descubra Superior HealthPlan. At Superior, members can get many great services in addition to their regular benefits when enrolled in a CHIP insurance plan. You can unsubscribe at any time. Superior works with the State of Texas Health and Human Services Commission (HHSC) to bring members benefits in the STAR (Medicaid), Children’s Health Insurance Program (CHIP), CHIP Perinatal Care, STAR+PLUS, and STAR Kids programs. * Restrictions and limitations may apply. Value-added Services are extra health care services offered by Superior. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. 34. ... Accessing Care – CHIP Perinatal Mothers *The federal poverty level (FPL) refers to income guidelines established annually by the federal government. Services may vary by area. Boys and Girls Club Value-added Service excludes CHIP members in Bexar, El Paso and Nueces service delivery areas and CHIP Perinate members. be covered by the health plan after receipt of documentation for high-risk diagnosis Postpartum care Two postpartum visits within 60 days after the birth are a covered benefit under the health plan. CHIP Perinatal. Another time -- a summer night when Junior was about 10 -- he and his friends got hold of a ladder and climbed over a barbed wire fence at the Mann's Potato Chip Co. The enrollment packet welcome letter tells you exactly how much you must spend before you are eligible to mail the form back to CHIP. These services are valid through 08/31/21. Superior HealthPlan proudly offers CHIP insurance in 7 service areas around the state of Texas: Bexar; El Paso; Hidalgo; Lubbock; Nueces; Travis; CHIP RSA – 170 rural counties in Texas; CHIP insurance in Texas provides health care for children from families who earn too much money to qualify for Medicaid, but not enough to pay for private health insurance. Also unlike CHIP, members in this program do not have any cost-sharing responsibilities (no co-payments or deductibles). Learn more about the benefits and services that are available. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. If you are Native American or Alaskan Native and your member ID card shows that a copay is required, please call Superior so we can send you a new card. Not have any other health coverage. Present your ID card when your child gets office visits or emergency room services or has a prescription filled. CHIP prenatal is no-cost health coverage for pregnant women. Superior does not exclude people or treat them Simply call Superior Member Services. Ask about our Care Management program. When you reach your annual cost-sharing limit, please send the form to CHIP. *Restrictions and limitations may apply. Visit Us At. Superior works with many doctors, clinics, and hospitals in your community to give you the medical care you need. Download the free version of Adobe Reader. After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. It is listed according to a family’s income. Texas Children’s Health Plan offers CHIP perinatal services. Download the free version of Adobe Reader. Copayments for medical services or prescription drugs are paid to the health care provider at the time of service. The network will automatically default to the last product network you selected. March 28, 2020 - April 3, 2020 The Afro-American A3 PRINCE GEORGE’S COUNTY EDITION. Forgot password? You’ll feel comfortable knowing that thousands of Texans get health care benefits through our plan services. These services are valid through 8/31/21. **Per 12-month term of coverage. These benefits are designed to provide prenatal services to unborn children of pregnant low-income women, who do not qualify for Medicaid. Welcome to Superior HealthPlan Superior HealthPlan provides health care for Medicaid and CHIP members across Texas. CHIP Perinatal Benefits. This new card will show that no co-payments are due when your child receives services for the remainder of the enrollment period. † Only for STAR & CHIP members in the Bexar and El Paso service areas. Medicaid provides health coverage to low-income pregnant women during pregnancy and up to two months after the birth of the baby. User Name (Email) Password Show. We Do More for CHIP Members. If you are a CHIP Perinatal Member, you can only choose an OB/GYN doctor from the Perinatal Section, which starts on page 90. #222 San Antonio, TX 78207 Phone (Main) Phone: 210.227.CFHP(2347) (Toll-Free) Phone: 800.434.CFHP(2347) Visit our contact page Para elegir un doctor o Proveedor de Cuidados Primarios (PCP), llame a Servicios para miembros de Superior. The Children’s Health Insurance Program (CHIP) is a health plan for children 18 years and younger. CHIP Perinatal provides similar coverage for women who can't get Medicaid and don't have health insurance. Discover Superior HealthPlan. Services may vary by area. You do not have to pay copayments for preventive care such as well-child or well-baby visits or immunizations. Avenida Guadalupe 1410 Guadalupe Ste. Superior works with many doctors, clinics, and hospitals in your community to give you the medical care you need. Online social services resource directory, Facility Co-Pay, Inpatient (per admission). They will tell you what your annual cost-sharing limit is. Superior HealthPlan proudly offers CHIP insurance in 7 service areas around the state of Texas: CHIP insurance in Texas provides health care for children from families who earn too much money to qualify for Medicaid, but not enough to pay for private health insurance. - The Children’s Health Insurance Program (CHIP/CHIP Perinate) Parkland Community Health Plan has proudly served the people of Texas since 1999. CHIP covers health services like checkups, lab tests, x-rays, hospital stays, medicines, dental care, and more. Superior works with the State of Texas Health and Human Services (HHS) to bring you STAR (Medicaid), Children’s Health Insurance Program (CHIP), CHIP Perinatal Care and … † Only for CHIP members in the Bexar and El Paso service areas. With CHIP Perinatal Newborn, your baby’s healthcare coverage is available for twelve months. 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