Texas STAR Medicaid benefits

 

STAR benefits are for children, pregnant members, and anyone who gets Temporary Assistance for Needy Families (TANF). If you’re in the Adoption Assistance or Permanency Care Assistance (AAPCA) programs, you may also be eligible for STAR benefits.

Medical care is just the beginning

 

With Wellpoint, you’ll also have access to a wide range of services including vision care and extra benefits like our Healthy Rewards program.

 

Not sure of your service area?

 

Visit our Know Your Service Area page.

Preapprovals and referrals

 

Preapprovals

A preapproval is when your doctor needs to ask us to approve a service before you receive it. Your provider will work with us to get the preapprovals you need. Please refer to the Referrals and Preapprovals page or visit our provider website for more information.

 

Referrals

You may need to visit a specialist or another provider for care or services your primary care provider can’t give you. You don’t need a referral from your primary care provider to get care from other providers in our plan. This includes behavioral health services, OB/GYN care, and family planning. It’s a good idea to talk to your main doctor first about other types of care you may need. He or she can tell you about other providers in our plan and help you find the care that’s right for you.

The member handbook: Everything you need to know

 

Your member handbook is your go-to guide for health services. Read it to find out about:

 

  How to use your benefits

 

  How to choose a primary care provider

 

  How to get help if your doctor’s office is closed

 

  How to reach Member Services if you have questions

 

  Your rights and responsibilities as a Wellpoint member

 

STAR Member Handbook (English) 

STAR Member Handbook (Spanish) 

 

External Medical Review Insert (non-nursing Facility) (English) 

External Medical Review Insert (non-nursing Facility)  (Spanish) 

 

9/23 Star Value-Added Benefits Change Insert  (English) 

9/23 Star Value-Added Benefits Change Insert  (Spanish) 

 

Need a handbook mailed to you?

 

Request a handbook via live chat with Member Services. To have a STAR member handbook mailed to you at no cost, contact Member Services. The handbook will be mailed within five business days of your request.