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We Do More for CHIP Members.
Discover Superior HealthPlan.

Superior HealthPlan proudly offers CHIP coverage in 7 service areas around the state:

  • Bexar
  • El Paso
  • Hidalgo
  • Lubbock
  • Nueces
  • Travis
  • CHIP RSA – 170 rural counties in Texas

This program 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 through this program, pregnant women may be eligible for coverage through CHIP Perinate. Learn more about the benefits and services that are available.

CHIP benefits include:

  • Choice of doctors.
  • Regular checkups and office visits.
  • Prescription drugs and medical supplies.
  • Dental and vision services.
  • Vaccines.
  • Behavioral health care services.
  • Hospital coverage.

More information can be found in the CHIP handbook


At Superior, members can get many great services in addition to their regular benefits. These are called Value-added Services. From extra vision care to cell phones and car seats, Superior is proud to offer many extra services to help keep our members healthy.

  • Extra vision benefits. This includes $150 toward prescription eyewear.
  • Annual sports physicals for children ages 4 through 18.
  • $25 for over-the-counter items through the mail every quarter.
  • Online and mobile accessible consumer-directed mental health resources for members through myStrength.
  • A convertible baby car seat for completing the Notification of Pregnancy (NOP) form, completing 1 prenatal visit and going to an educational baby shower.
  • Diaper bag and diapers for pregnant members who complete the NOP form and attend a baby shower class.
  • $35 for programs offered by YMCA and Boys and Girls Club.*
  • Help for members in the Asthma Disease Management Program. Members in the program will receive an allergy free mattress cover and pillow case to help control their symptoms.
  • Up to $150 each year through CentAccount®. This program is for pregnant women who complete prenatal visits, checkups, get a flu shot and agree to receive pregnancy-related text messages. Rewards can be used at many Texas retailers including Walmart. Download a copy of the CentAccount flyer (PDF)
  • Support for pregnant members to reduce the health risks of smoking.
  • An educational pregnancy book for teen pregnant members up to age 19 who are enrolled in Care Management and in their first trimester.
  • Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management.
  • Transportation to behavioral health visits and to community supports and services for members ages 21 and older (not available for MRSA members).
  • Connections Plus phone for members who do not qualify for SafeLink and enroll in Care Management.
  • A 24-hour nurse advice line.
  • Stop-smoking outreach, education and support services. Participants who enroll in Puff Free Pregnancy support services will get a carrying bag that includes mints, baby bib and bottle, stress ball and magnet.
  • Parenting class that gives education and resources to aid in healthy child development.
  • $50 for Weight Watchers™ or other equivalent programs for members interested in better eating habits and losing weight.††
  • $135 reimbursement for a General Education Development (“GED”) Preparatory Materials Packet after the successful completion of a GED certificate.††

*YMCA Value-added Service is for STAR and CHIP members in the Bexar, El Paso, Lubbock, Nueces, Travis and rural service areas. Boys and Girls Club Value-added Service is only for STAR members in the Hidalgo, Lubbock, MRSA Northeast and Travis service areas and CHIP members in the Lubbock, Travis and CHIP RSA service areas.

Only for CHIP and STAR members in the Bexar and El Paso service areas.

†† Exclusive to CHIP RSA members.

Value-added Services are extra health care services offered by Superior. Services may vary by area. Restrictions and limitations may apply. These services are valid through 8/31/19.

There are no co-pays for STAR, STAR+PLUS or STAR Health members. Superior fully covers all medically necessary needs for these programs. Information on co-pays for CHIP members is below.

  • The table below lists the CHIP co-payment schedule. It is listed according to a family’s income. Co-payments for health-care services or prescription drugs are paid to the health-care provider at the time of service. You do not have to pay co-payments for preventive care such as well-child or well-baby visits or vaccines.
  • Your child’s Superior Member ID card lists the co-payments that apply to your family. Present your Superior Member ID card when your child gets office visits or emergency room services or has a prescription filled.

CHIP Cost-Sharing - Effective January 2, 2014***

Enrollment Fees (for 12-month enrollment period): Charge

At or below 150% of FPL*


Above 150% up to and including 185% of FPL


Above 185% up to and including 200% of FPL


Co-Pays (Per Visit)

At or Below 100% of FPL

Service Charge
Office Visit $3
Non-Emergency ER $3
Generic Drug $0
Brand Drug $3
Facility Co-Pay, Inpatient $15
Cost-Sharing Cap 5% (of family's income)**

Above 100% up to and including 150% of FPL

Service Charge
Office Visit $5
Non-Emergency ER $5
Generic Drug $0
Brand Drug $5
Facility Co-Pay, Inpatient (per admission) $35
Cost-Sharing Cap 5% (of family's income)**

Above 150% up to and including 185% of FPL

Service Charge
Office Visit $20
Non-Emergency ER $75
Generic Drug $10
Brand Drug $35
Facility Co-Pay, Inpatient (per admission) $75
Cost-Sharing Cap 5% (of family's income)**

Above 185% up to and including 200% of FPL

Service Charge
Office Visit $25
Non-Emergency ER $75
Generic Drug $10
Brand Drug $35
Facility Co-Pay, Inpatient (per admission) $125
Cost-Sharing Cap 5% (of family's income)**

*The federal poverty level (FPL) refers to income guidelines established annually by the federal government.
**Per 12-month term of coverage.
***Effective January 2, 2014, CHIP Members will be required to pay an office visit co-payment for each non-preventive dental visit.

The Member Guide you received from CHIP when you enrolled your child in CHIP includes a tear-out form that you should use to track your CHIP expenses. To make sure you do not go over your cost-sharing limit, please keep track of your CHIP-related expenses on this form. The enrollment packet welcome letter tells you exactly how much you must spend before you are eligible to mail the form back to CHIP. If you lose your welcome letter, please call CHIP at 1-800-647-6558. They will tell you what your annual cost-sharing limit is.

When you reach your annual cost-sharing limit, please send the form to CHIP. They will notify Superior. We will issue a new Superior Member ID card for your child. This new card will show that no co-payments are due when your child receives services for the remainder of the enrollment period.