Medicaid and the Children's Health Insurance Program (CHIP)

Medicaid and the Children's Health Insurance Program (CHIP) Offer Free or Low Cost Health Coverage to Children and Families

If you are eligible for health coverage from Edgewood ISD, but are unable to afford the premiums, the state of Texas has premium assistance programs that can help pay for your coverage. The State uses funds from the Medicaid or CHIP programs to help people who are eligible for employer sponsored health coverage, but need assistance in paying health premiums.

If you or your dependents are already enrolled in Medicaid or CHIP, you can contact the State Medicaid or CHIP office at 1-800-449-0493 (https://www.gethipptexas.com/) to find out if premium assistance is available.

If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, you can contact the State or CHIP office at 1-800-449-0493 (https://www.gethipptexas.com/ or dial 1-877-KIDSNOW or www.insurekidsnow.gov to find out how to apply. If you qualify, you can ask the State if it has a program that might help you pay the premiums for an employer-sponsored plan.

Once it is determined that you or your dependents are eligible for premium assistance under Medicaid or CHIP, Edgewood and our health insurance carrier (Aetna) will allow you and your dependents to enroll in the health insurance-as long as you and your dependents are eligible, but not already enrolled in the District health insurance plan. This is called a "special enrollment". You must request coverage within 60 days of being determined eligible for premium assistance.

U.S Department of Labor

Employee Benefits Security Administration

www.dol.gov/ebsa

1-866-444-EBSA (3272)

U.S. Department of Health and Human Services

Centers for Medicare & Medicaid Services

www.cms.hhs.gov

1-877-267-2323, Ext 61565

Seguro médico asequible o gratuito para toda la familia con Medicaid y para menores con el seguro médico infantil CHIP

Si tiene usted la opción de recibir el seguro médico que ofrece el distrito a sus empleados, pero no puede permitirse las cuotas mensuales, puede solicitar una subvención del estado de Texas. El estado emplea los fondos de Medicaid y el seguro infantil CHIP para estos fines.

Si usted o algún miembro de su familia ya son beneficiarios de Medicaid o del seguro infantil CHIP, llame al 1-800-449-0493 (https://www.gethipptexas.com/) para saber si puede solicitar una subvención de cuotas mensuales del seguro del distrito.

Si usted o algún miembro de su familia no son beneficiarios de Medicaid o del seguro infantil CHIP y cree que cumple las condiciones para solicitarlos, llame al 1-800-449-0493 (https://www.gethipptexas.com/ o llame al 1-877-KIDSNOW or www.insurekidsnow.gov) para saber si cumple las condiciones de solicitud.

Una vez comprobado que usted y su familia cumplan las condiciones, podrá suscribir seguro médico que el distrito le ofrece a través de la aseguradora Aetna. Una hechas las consultas tendrá 60 días para solicitar la cobertura del seguro.

Departamento de Trabajo

Departamento de Servicios de Salud

www.dol.gov/ebsa

1-866-444-EBSA (3272)

Dirección de Prestaciones Laborales

Centros de Servicios de Medicare y Medicaid

www.cms.hhs.gov

1-877-267-2323, Ext 61565

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