Αποτελέσματα Αναζήτησης
Children in Texas might be able to get low-cost or free health coverage through Children's Medicaid or the Children's Health Insurance Program. CHIP is a health care program for children without health insurance whose families earn too much to get Medicaid but cannot afford health insurance.
- Form H1200, Application for Assistance – Your Texas Benefits
English PDF: Form H1200; Spanish PDF: Form H1200-S;...
- Form H1200, Application for Assistance – Your Texas Benefits
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".
Medicaid and CHIP Services COVID-19 Information (PDF) Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.
To apply for Medicare. You must apply for Medicare through a different agency - the Social Security Administration. To learn more, visit www.Medicare.gov or call 1-800-633-4227. Medicaid Buy-In Program. To ask for these forms, call 2-1-1 or 1-877-541-7905. Helps people who work and: (a) have a disability or (b) are age 65 or older.
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.
• 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
How to Apply. What to do: 1. Fill out this form. 2. Sign and date pages 1 and 18. 3. Send “Items we need.” See pages C and D. How to send it: Mail: HHSC, PO Box 149024, Austin, TX 78714-9968 Fax: 1-877-447-2839. If your form is 2-sided, fax both sides.
