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  1. English PDF: Form H1200; Spanish PDF: Form H1200-S; Instructions. English and Spanish forms can be found under the title "Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program" under section "Forms to apply for benefits".

    • CHIP

      CHIP. The Children's Health Insurance Program (CHIP) covers...

  2. To get Medicaid or CHIP, a child must be age 18 and younger (in some cases children with disabilities age 19 and 20 can get Medicaid). They must also be a Texas resident and a U.S. citizen or qualified non-citizen. When you apply, we'll ask about your family's income to see which programs your child can get. Apply for Medicaid and CHIP.

  3. CHIP. The Children's Health Insurance Program (CHIP) covers children in families that earn too much money to qualify for Medicaid but can’t afford to buy private insurance. If you’re new to CHIP, you’ll choose a health plan for your child from the ones available in your service area (PDF).

  4. • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be : eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form. Visit

  5. www.yourtexasbenefits.com › Learn › GetPaperFormYour Texas Benefits

    Forms to apply for benefits. Form to apply for Food Benefits (SNAP), Healthcare (Medicaid and CHIP), or cash help for families (TANF) (H1010) Send by mail. Download. Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program (H1200) Send by mail. Download.

  6. Call 2-1-1 to find a clinic. Women age 15 to 44 who can’t get Medicaid or CHIP might be able to get services in the Healthy Texas Women program. A parent or legal guardian must apply for young women age 15 to 17. To learn more, go to HealthyTexasWomen.org or call 1-866-993-9972.

  7. 31 Δεκ 2018 · Who do you need to include on this application? If you file taxes: We need to know about everyone on your tax return. If you don’t file a tax return: We need to know about family members who live with you. (You don’t need to file taxes to get health coverage). DO Include: • Yourself. • Your spouse. • Your children under 21 who live with you.

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