FirstCare CHIP Plans

Welcome to FirstCare CHIP

The Children’s Health Insurance Program (CHIP) is a health plan for children 18 years and younger. CHIP is for families when their income is too high for Medicaid but they can't afford other insurance. CHIP covers health services like checkups, lab tests, x-rays, hospital stays, medicines, dental care, and more.

CHIP Perinatal Benefits

CHIP Perinatal benefits are services to the unborn child of a pregnant woman who does not qualify for other Medicaid programs or traditional CHIP. The program will also continue services for some newborn children after delivery. To learn more about the program and other benefits for pregnant women, visit our Healthy Pregnancy page.

Is there a cost to join CHIP?

There may be a cost to join FirstCare CHIP. The cost is based on the family income, assets and size. The cost may have an enrollment fee and co-payments.  Most co-payments for doctor visits and medicines drugs are from $3 to $20 for lower-income families and $20 to $35 for higher-income families.
Enrollment fees are $50 or less per family, per year. For more info, see the CHIP Yearly Enrollment Fees Chart.  

There is no cost to join the CHIP Perinatal program and no cost for care.

How does CHIP work?

CHIP Members - When you join CHIP, you will pick a doctor for your children. The doctor you pick will be the primary care physician, also called the PCP. This doctor will help when medical care is needed. You will be sent a CHIP ID card. The doctor (PCP) you choose will be listed on the CHIP ID card. You will need to show the CHIP ID card at each doctor visit.
CHIP Perinatal Members - When the pregnant mother of the unborn child joins the program, she will pick a doctor for care while she is pregnant. Once the baby is born, the mother will pick a doctor to be the baby's primary care provider, also called the PCP. This doctor will help when the baby needs medical care. The mother will be sent a CHIP Perinatal ID card to use before the baby is born. The baby will be sent a CHIP Perinatal ID card once the baby is born. The baby's doctor will be listed on the baby's CHIP Perinatal ID card. Show the doctor the card each visit.

What are the benefits of FirstCare CHIP?

CHIP and CHIP Perinatal Newborn Benefits:
  • No limit on RX
  • Hospital care as long as medically needed
  • Doctor Visits

How do I access covered services?
What should I do if I have an emergency?

To access covered services, call FirstCare CHIP or CHIP Perinatal Customer Service at 1-877-639-2447. If you are having an emergency and need immediate medical care, go to the nearest Emergency Room (ER) or call 9-1-1. If you do not have life threatening injuries or symptoms or do not need immediate medical care, call your PCP first. Your doctor can help you and give you advice.  

How do I replace my ID card if it is lost or stolen?

If you need to replace your ID cards, call FirstCare Customer Service tollfree at 1-877-639-2447 and we can assist you.

Member Portal

FirstCare members have access to our online Member Portal. Here, you can look up your claims, view your benefits and find important plan documents.To log in/register, click here

You get free "extra" benefits in the Lubbock area

Keep your benefits!

CHIP enrollment will need to be renewed every 12 months. If you have questions, call FirstCare at 1-866-787-0663.

Need Help?
Contact Us!

Call FirstCare CHIP Customer Service at 1-877-639-2447. 

We're open Monday through Friday, from 8 a.m. to 5 p.m., excluding state approved holidays. If you call after hours, please leave us a message. We return all calls the next business day.
Our Customer Service Representatives speak both English and Spanish. If you speak another language, we can connect you with an interpreter. You can get information in larger print, audio (CD), braille, or in any other language format, if needed. For help, call FirstCare CHIP Customer Service at 1-877-639-2447.

Members with hearing loss can call FirstCare’s TTY line 1-800-562-5259 or the Relay Texas number 7-1-1. Relay Texas is a free telephone interpreting service to help people with hearing or speech disabilities.



CHIP Service Area CHIP Member News

Ask the Pharmacist

Have a question about a specific drug, or a drug benefit in your plan? Email our Pharmacist for the answers you need!

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? Get the info you need today! FirstCare members can talk to a nurse 24/7 by calling 1.855.828.1013 to get answers 24 hours a day, 7 days a week! TTY users can call 7-1-1 or  1.800.955.8771. Voice communication is available at 1.800.955.8770.

Utilization Management

Ever wonder how we decide to authorize services? Our decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

Helpful Links and Phone Numbers

CHIPInformation and Referral:
2-1-1 or 1-877-541-7905
Helpline: 1-800-335-8957 
Enrollment Helpline: 1-800-964-2777
TTY: 1-800-735-2989 
MCNA Dental (CHIP)Medicaid & CHIP dental plan for Texas
TTY: 1-800-955-8771
DentaQuest (CHIP)Medicaid & CHIP dental plan for Texas
TTY: 1-800-855-2880
Navitus Health SolutionsFirstCare’s Pharmacy Benefit Manager 
Toll-free: Listed on your pharmacy benefit member ID card
TTY: 7-1-1

Am I in the FirstCare Service Area?

The National Committee for Quality Assurance (NCQA) has awarded an accreditation status of Accredited for service and clinical quality that meet the basic requirements of NCQA's rigorous standards for consumer protection and quality improvement.

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