CHIP Perinatal Care
Superior HealthPlan’s program for CHIP Perinatal Care is part of Texas’ Children’s Health Insurance Program. These benefits are designed to provide CHIP prenatal services to unborn children of pregnant low-income women who do not qualify for Medicaid. Unlike with CHIP, there is no 90-day waiting period before coverage can begin and no CHIP asset test before enrollment. Also unlike CHIP, members in this program do not have any cost-sharing responsibilities (no co-payments or deductibles).
CHIP Perinatal Care benefits and services are limited to prenatal and postpartum care, and labor and delivery of the child.
- 20 prenatal visits
- Prescriptions and prenatal vitamins
- Labor with delivery of the child
- Two checkups for the mother after the birth
- Regular checkups, immunizations, prescriptions and other CHIP health care benefits for the baby after leaving the hospital
- Once the baby is born, he/she is enrolled in CHIP and will receive full CHIP benefits.
Who qualifies for CHIP Perinatal Care?
Unborn children of pregnant women who do not qualify for Medicaid due to:
- Income (income more than the 185% Federal Poverty Level, but at or below 200%); or
- Immigration Status (and whose income is at or below 200% Federal Poverty Level)
Superior offers CHIP Perinatal Care for members who live in and around these service areas:
- Amarillo and Lubbock
- Corpus Christi
- El Paso
- San Antonio
Members qualified for CHIP Perinatal Care receive 12 months of continuous coverage for unborn/newborn children from the month of enrollment in the program.
If mom was five months pregnant when she came into the CHIP Perinatal Care program, her unborn/newborn child will have 12 months of continuous coverage as follows: 4 months left in the pregnancy + 8 newborn months = 12. The parent will then have to apply for either CHIP or Medicaid coverage for the child through HHSC.