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:

• Austin
• 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.

For example:
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.