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Summer 99 Table of Contents
Versión Español de este artículo (Spanish Version)

August 2000- This Program NO LONGER EXISTS
Texas Healthy Kids

By Carlos Femat, Director of Outreach, Texas Healthy Kids Corporation

The Texas Healthy Kids Corporation (THKC), a Texas nonprofit corporation, was created by an act of the 75th Legislature in 1997 as a public/private partnership to contract with licensed commercial insurance carriers to provide health insurance benefits under the program. The primary purpose of the THKC program is to provide preventive and primary health care benefits to the more than 1.3 million uninsured children in Texas.

In 1999, the Texas Healthy Kids program became available statewide. To be eligible, children must:

The premiums for health coverage range from $41.53 to $79.84 per child, per month* depending on the county in which you live. Some of the benefits include immunizations, physician's office visits, well-child visits, prescription drugs, eyeglasses, lab tests, x-rays, home health services, hospitalization, basic mental health and limited treatment for chemical dependency, rehabilitation, and now, there is also an optional dental plan for an additional fee.

The benefit plan is child-oriented with age-appropriate well-child checkups that include standard vision and hearing screening at no copay if no problems needing medical care are found. Visits to a doctor (primary doctor or specialist) for vision or hearing problems are available with a low copay ($10). Glasses are available with a $10 copay every two years unless the prescription or head size change. Low vision and telescopic aids are not included.

There is a Sliding-scale Premium Assistance Program to increase affordability, with family contribution reduced to $10 monthly per child for a family of four with an annual income of less than $25,200; and $20 monthly per child for a family of four earning less than $31,080. THKC cannot guarantee the availability of Premium Assistance funds which are provided through private contributions.**

Children in a family of four that earns more than $31,080 (as well as those who may be eligible for, but choose not to participate in, Medicaid) may enroll at full premium.

To receive additional information or to get an application, call toll-free at 1-800-647-6558, or consult our website at <http://www.texcarepartnership.com/CHIP-THKC-Page.htm>. 

*Stated rates are illustrative and subject to change. Rates are identical for all eligible children in your county. Exclusions and limitations may apply to the health benefits. Insurance carriers and rates may vary by region. You must complete an application before obtaining coverage. Do not send money to Texas Healthy Kids in response to this article.

**THKC has been certified by the IRS as eligible to receive tax-deductible contributions under Section 501(c)(3) of the Internal Revenue Code.

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Last Revision: September 4, 2003