There are four Medicaid programs in Texas: STAR, STAR+PLUS, STAR Health and traditional Medicaid. (2024)

FAQs

There are four Medicaid programs in Texas: STAR, STAR+PLUS, STAR Health and traditional Medicaid.? ›

There are four Medicaid programs in Texas: STAR, STAR+PLUS, STAR Health and traditional Medicaid. The type of Medicaid coverage a person gets depends on where the person lives and what kind of health issues the person has. STAR — STAR is Medicaid for children, newborns, pregnant women and some families and children.

There are 5 different types of Medicaid programs available in Texas: Traditional Medicaid, State of Texas Access Reform (STAR), STAR Kids, STAR Health, and STAR+PLUS. Read on to learn more about each type of Medicaid in Texas.

Participating Plans, Plan Selection, and Rate Setting

Texas contracts with a total of 16 plans, some of which participate in more than one program.

STAR is a no-cost Medicaid managed care plan that covers children up to age 21, some adults, and pregnant women who cannot afford health insurance. Texas Children's Health Plan offers STAR in more than 20 counties in the Jefferson and Harris Service Areas.

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families.

▪ With traditional Medicaid, you receive health care from any doctor who. accepts Medicaid. o The second is STAR Medicaid. ▪ With STAR Medicaid, you have one primary care doctor who takes care. of you and refers you to specialists as needed.

Since 2015, Superior HealthPlan has maintained its position as one of Texas's best Medicaid plans, earning ratings of 3.5 or higher out of 5.0 on the NCQA Medicaid Health Insurance Plan Ratings.

Star Health Insurance Policies or mediclaim plans will cover all 24-hour in-patient hospitalisations due to illness, accidents and daycare treatments/procedures. All related pre-hospitalisation and post-hospitalisation expenses are payable up to the specified days mentioned in the policy clause.

STAR Kids is a Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities.

This call is free. You can also visit us at www.myamerigroup.com/TXmmp to access or order a Member Handbook. ❖ Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

What is Texas Star Plus? ›

STAR+PLUS is a Texas Medicaid-managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid healthcare and long-term services and support through a health plan that they choose.

The following is relevant for Texas residents age 65 or older in 2024. The monthly income limit for a single applicant to be eligible for STAR+PLUS from Texas Medicaid is $2,829. Calculated annually, applicants must earn less than $33,948.

Medicaid is the state and federal cooperative venture that provides medical coverage to eligible needy persons. The purpose of Medicaid in Texas is to improve the health of people in Texas who might otherwise go without medical care for themselves and their children.

Children's Medicaid is a health care program for children in low-income families. CHIP is a health care program for children without health insurance whose families earn too much to get Medicaid but cannot afford health insurance.

Medicaid is a program jointly funded by federal and state governments. The federal government provides matching funds to states for a specific percentage of Medicaid expenditures, called federal financial participation (FFP).

Since 1999 they have taken a members-first approach to health care by focusing on the whole health of the individual and forming community partnerships to support their members, one person at a time. It's why Superior is one of the leading Medicaid plans in Texas.