Texas Children's Health Plan

Child Only HMO Plan

Product Highlights

NO deductibles

NO claim forms for members to file

NO exclusions for pre-existing conditions following underwriting approval

NO maximum limit on lifetime benefits

NO application and/or policy fee and no monthly administrative fee

NO need to change the child’s pediatrician the next time a parent has a job change as this coverage is not through the parents employer

NO CoPay for routine Diagnostic services

NO CoPay for preventative care services

NO CoPay for Physician inpatient services

Hospital inpatient facility services include a CoPay of $250 per day per admission with a maximum of $1,000 per admission that a member will be responsible for paying

$10 prescription CoPay

$25 physician office visit CoPay

Organ transplant services

Diabetic services

Low Monthly Premiums (Much less than family coverage when only the employee and child are covered on a employer sponsored group plan)

Provider Network includes….

21 Community Hospitals

450 Physician Network

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