What Does Healthy Texas Women’s Medicaid Cover

Healthy Texas Women, a Medicaid program, offers a wide range of health services to low-income women in Texas. These services include preventive care such as well-woman exams, cancer screenings, and immunizations. Healthy Texas Women also covers family planning services, pregnancy care, and postpartum care. Additionally, the program provides treatment for acute and chronic conditions, as well as mental health and substance abuse services. Healthy Texas Women is a valuable resource for women who need access to affordable, quality healthcare.

Healthy Texas Women’s Medicaid: Coverage and Eligibility

Healthy Texas Women’s Medicaid is a healthcare program that provides a wide range of health benefits to low-income women in Texas. The program covers a comprehensive array of services, including physical and mental health checkups, family planning services, and prescription drugs.

Eligibility Requirements

  • Be a Texas resident.
  • Be between the ages of 18 and 44.
  • Meet certain income guidelines.
  • Be a U.S. citizen or a qualified immigrant.
  • Not be eligible for Medicare or other health insurance.

Income guidelines for Healthy Texas Women’s Medicaid vary depending on family size. For a single person, the income limit is 138% of the federal poverty level (FPL), which is currently $17,609 per year. For a family of four, the income limit is 206% of the FPL, which is currently $26,500 per year.

Covered Services

Healthy Texas Women’s Medicaid covers a wide range of services, including:

  • Physical and mental health checkups
  • Family planning services
  • Prescription drugs
  • Hospitalization
  • Emergency services
  • Laboratory and X-ray services
  • Preventive care

The program also covers a variety of other services, such as dental care, vision care, and chiropractic care.

ServiceCovered
Physical and mental health checkupsYes
Family planning servicesYes
Prescription drugsYes
HospitalizationYes
Emergency servicesYes
Laboratory and X-ray servicesYes
Preventive careYes
Dental careLimited
Vision careLimited
Chiropractic careLimited

How to Apply

To apply for Healthy Texas Women’s Medicaid, you can visit your local Texas Health and Human Services office or apply online. You will need to provide proof of income, identity, and residency. Once your application is processed, you will be issued a Medicaid card that you can use to access covered services.

Covered Services Under Healthy Texas Women’s Medicaid

Healthy Texas Women’s Medicaid is a health insurance program that provides coverage for low-income women in Texas. The program covers a wide range of services, including:

Medical Services

  • Doctor visits
  • Hospitalizations
  • Emergency room visits
  • Laboratory tests
  • X-rays
  • Prescription drugs
  • Durable medical equipment
  • Home health care
  • Skilled nursing facility care
  • Intermediate care facility care
  • Hospice care

Family Planning Services

  • Contraception
  • Sterilization
  • Abortion

Preventive Services

  • Well-child visits
  • Immunizations
  • Cancer screenings
  • STD testing

Other Services

  • Dental care
  • Vision care
  • Mental health care
  • Substance abuse treatment
Income Eligibility for Healthy Texas Women’s Medicaid
Household SizeIncome Limit
1$1,634
2$2,182
3$2,731
4$3,279
5$3,828
6$4,377
7$4,925
8$5,474

To be eligible for Healthy Texas Women’s Medicaid, you must be a Texas resident, a U.S. citizen or qualified non-citizen, and meet the income limits. To apply for Healthy Texas Women’s Medicaid, you can visit your local county health department or apply online at the Texas Health and Human Services website.

Applying for Healthy Texas Women’s Medicaid

Eligibility for Healthy Texas Women’s Medicaid is based on income and household size. You can check your eligibility by visiting the Texas Medicaid website or calling the Texas Medicaid hotline at 1-800-252-8263. To apply for Healthy Texas Women’s Medicaid, you can either submit an application online or print out and complete a paper application, sign and date it and take it to your local HHSC office.

What Does Healthy Texas Women’s Medicaid Cover?

Healthy Texas Women’s Medicaid covers a wide range of health care services, including:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Family planning services

Healthy Texas Women’s Medicaid also covers a variety of preventive services, such as:

  • Well-child visits
  • Cancer screenings
  • STI screenings
  • Immunizations

Other Services Covered by Healthy Texas Women’s Medicaid

In addition to the services listed above, Healthy Texas Women’s Medicaid also covers a variety of other services, including:

  • Medical transportation
  • Durable medical equipment
  • Home health care
  • Hospice care

Costs of Healthy Texas Women’s Medicaid

There are no monthly premiums for Healthy Texas Women’s Medicaid. However, you may have to pay a small copayment for some services. The amount of your copayment will depend on your income and the type of service you receive.

How to Get More Information About Healthy Texas Women’s Medicaid

For more information about Healthy Texas Women’s Medicaid, you can visit the Texas Medicaid website or call the Texas Medicaid hotline at 1-800-252-8263.

Table of Services Covered by Healthy Texas Women’s Medicaid

ServiceCovered
Doctor visitsYes
Hospital staysYes
Prescription drugsYes
Mental health servicesYes
Substance abuse treatmentYes
Dental careYes
Vision careYes
Family planning servicesYes
Well-child visitsYes
Cancer screeningsYes
STI screeningsYes
ImmunizationsYes
Medical transportationYes
Durable medical equipmentYes
Home health careYes
Hospice careYes

Healthy Texas Women’s Medicaid: A Program for Low-Income Women

Healthy Texas Women’s Medicaid is a program that provides health insurance to low-income women in Texas. The program covers a wide range of services, including:

  • Prenatal care
  • Labor and delivery
  • Postpartum care
  • Family planning services
  • Well-woman exams
  • Cancer screenings
  • Treatment for chronic conditions
  • Mental health services

Benefits of Healthy Texas Women’s Medicaid

Healthy Texas Women’s Medicaid provides a number of benefits to low-income women, including:

  • Access to quality health care: The program provides coverage for a wide range of health care services, including preventive care, prenatal care, and treatment for chronic conditions.
  • Financial assistance: The program helps low-income women pay for the cost of health care, including deductibles, copays, and coinsurance.
  • Peace of mind: The program provides peace of mind to women who may otherwise be unable to afford health insurance.

Eligibility for Healthy Texas Women’s Medicaid

To be eligible for Healthy Texas Women’s Medicaid, you must meet the criteria listed below.

  • Be a woman.
  • Be a U.S. citizen or legal permanent resident.
  • Be a Texas resident.
  • Meet the income guidelines.

Income LevelMedicaid Eligibility
100% of the federal poverty levelEligible
138% of the federal poverty levelEligible if pregnant
200% of the federal poverty levelNot eligible

The federal poverty level is updated each year by the U.S. Department of Health and Human Services. For 2023, the poverty level for a single person is $13,590.

How to Apply for Healthy Texas Women’s Medicaid

To apply for Healthy Texas Women’s Medicaid, you can:

  • Apply online at the Texas Health and Human Services website.
  • Apply by phone at 1-877-541-7905.
  • Apply in person at your local Texas Health and Human Services office.

You will need to provide the following information when you apply:

  • Your name, address, and phone number.
  • Your Social Security number.
  • Your income information.
  • Information about your pregnancy (if you are pregnant).

Once you have applied for Healthy Texas Women’s Medicaid, you will be notified of your eligibility status within 45 days.

And that’s the scoop on what Healthy Texas Women’s Medicaid covers! Thanks for hangin’ out with me as we dove into the details. If ya want to explore more about this program or any other health-related goodies, be sure to drop by again. I’ll be here, armed with more info and ready to help ya navigate the world of healthcare in Texas. Stay well, y’all!