Your plan benefits and services in Texas

You can see your primary care provider (PCP) and specialist doctors for checkups, health screenings, vaccines and treatment if you are sick or have chronic diseases.

When your PCP is not available, you can go to urgent care for treatment of common thing like:

• flu
• earaches
• sore throats
• migraines
• fever
• rashes
• minor injuries such as
  
  • strains
  • back pain
  • cuts
  • burns
  • broken ones
  • eye injuries

You can go to the emergency room (ER) or urgent care at any time for emergencies like:

• chest pain
• severe abdominal pain
• coughing or vomiting blood
• severe burns, cuts or bleeding
• difficulty breathing or shortness of breath
• sudden dizziness
• weakness or loss of balance or coordination
• numbness of the face, arm or leg
• sudden, severe headache
• seizures
• high fevers
• any other life-threatening condition

Your plan covers overnight hospital stays and care ordered by your doctor.

Medicaid provides health coverage to low-income pregnant women during pregnancy and up to 12 months after postpartum.

• Regular prenatal and postpartum checkups
• Prescription drugs, prenatal vitamins and vaccines
• Hospital care and labor and delivery services
• X-rays and lab tests
• Vision and hearing care
• Access to medical specialists and mental health care
• Treatment of special health needs and preexisting conditions