Texas Children's Health Plan Highlights

Texas Children's Health 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 parent's employer
NO copay for routine Diagnostic services
NO copay for preventative care services
NO copay for Physician inpatient hospital 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 an employer sponsored group plan)
Provider Network includes...
- 53 Community Hospitals
-1,800 Physician Network