Texas STAR Medicaid benefits

There are no copays for covered services. Benefits include:

• Primary care provider visits
• Prescription drugs
• Immunizations and wellness visits
• Specialist visits
• Urgent care
• Emergency care
• Lab and X-ray services
• Pregnancy services
• Family planning
• Hospital care
• Chiropractic services
• Speech and hearing services
• Physical therapy
• Behavioral health care (mental health and substance use disorder services)
• Home health care
• Disease management services

Check your STAR member handbook for a complete list of your benefits.

Medical checkups, for children birth through age 20 who have Medicaid, are called Texas Health Steps. Your child should get Texas Health Steps checkups at:

• Birth
• 3-5 days old
• 2 weeks old
• 2 months old
• 4 months old
• 6 months old
• 9 months old
• 12 months old
• 15 months old
• 18 months old
• 2 years old
• 2 ½ years old

After age 2 ½, your child should visit the doctor every year. Be sure to make these appointments and take your child to his or her doctor when scheduled. These checkups can:

• Find health problems before they get worse and harder to treat.
• Prevent health problems that make it hard for your child to learn and grow.

There is no cost for these checkups.

Questions about Texas Health Steps? Call 877-847-8377 (877-THSTEPS) or go to the Texas Health Steps website .

Are you a seasonal farmworker? We will help you find doctors and clinics and help you set up appointments for your children. Your child can receive his or her checkup or service sooner if you are leaving the area.

Health care services for children of farmworkers (English) 

Health care services for children of farmworkers (Spanish) 

Dental benefits for ages 0-20 are offered through a dental managed care organization. Call your child's dental plan to find a dentist and learn about covered services:

• DentaQuest: 800-516-0165
• MCNA Dental: 800-494-6262
• UnitedHealthcare Dental: 877-901-7321

Wellpoint offers vision care through Superior Vision of Texas. To find or change your eye doctor, call Superior Vision of Texas at 800-428-8789 or go to the Superior Vision website.

• Members age 20 and younger can get an eye exam once every 12 months and prescription glasses (if necessary) once every 24 months.
• Members age 21 and older can get an eye exam and prescription glasses (if necessary) once every 24 months.

You can get no-cost rides to your health care services. Wellpoint will provide rides to the doctor, dentist, hospital, pharmacy, and any other places you receive Medicaid services. Call us at least two business days before you need a ride. If you need to travel out of town or out of your service area, call us at least five business days before you need a ride. Wellpoint will use Access2Care to arrange all travel. Call 833-721-8184 (TTY 711) to schedule a ride.

Visit the Transportation page for more details.

Get 24-hour phone advice from a registered nurse.

Call 833-731-2160 (TTY 711).

Your benefits include a wide range of prescription and over-the-counter (OTC) drugs. You do not have pharmacy copays. We work with CarelonRx to provide these benefits.

Review pharmacy benefits 

Healthy Rewards is a program that pays you for taking control of your health. You can earn rewards for completing healthy activities like:

• Texas Health Steps
• Prenatal and postpartum visits for pregnant members
• Screenings for diabetes management

Then redeem your Healthy Rewards via the Benefit Reward Hub. To learn about other value-added benefits, visit the Extra Benefits page.