Do I Qualify

What is Medicaid and CHIP?


STAR
State of Texas Access Reform (STAR) is no-cost health care insurance for low-income families.


CHIP
The Children’s Health Insurance Program (CHIP) is health care for children 0-18 years. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage.

1 Learn if You Qualify

Who can qualify? To qualify, a child must be :

  • Age 18 or younger (Children up to age 20 may be able to get Medicaid in some cases).
  • A pregnant woman of any age can apply for CHIP perinatal services or Medicaid for her unborn child.
  • A Texas resident.
  • A U.S. citizen or legal permanent resident.

Who can apply?

  • Any adult who lives more than half the time with an uninsured child may apply. This includes parents, stepparents, grandparents, other relatives, legal guardians, or adult brothers or sisters.
  • Anyone age 19 or younger who lives on their own can apply.
  • A pregnant woman of any age.
The difference between CHIP and Medicaid is based on your family’s income. In order to qualify, you must have an annual household income (before taxes) that is less than or equal to the following amounts:
Family Members (Adults plus children)
Medicaid / STAR Monthly Family Income Yearly Family Income
CHIP Monthly Family Income Yearly Family Income
1 $1,415 $16,971 $2,138 $25,648
2 $1,911 $22,929 $2,888 $34,655
3 $2,408 $28,888 $3,639 $43,658
4 $2,904 $34,846 $4,389 $52,662
5 $3,401 $40,805 $5,139 $61,667
6 $3,897 $46,763 $5,890 $70,672
7 $4,394 $52,722 $6,640 $79,677
8 $4,890 $58,680 $-- $--

2 How do I apply for benefits?

Part A
Choose how you want to submit your application
Go here to fill out your application and submit the form online
Go here to download the form and submit it by mail
Go here to have someone help you fill out an application on the phone.
Part B
Within 45 days of sending in your application, you will be notified by HHSC to let you know if you're approved.
3 Pick Your Health Plan
After you're approved for Medicaid or CHIP, you must pick a health plan. HHSC will send you a packet in the mail when it's time to choose a health plan. The packet will include facts about each health plan. If you don't choose a health plan, HHSC will choose one for you.
Check your status online at
Don't Forget to Find Your Doctor

We have a large network of primary care physicians (PCPs) to choose from. Our network of providers care for the whole family, not just children.

Get in Touch with Us

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