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Plans & Benefits: Texas CHIP Perinate

Amerigroup is a health plan in the Texas CHIP program. As part of the CHIP Program, Amerigroup helps manage health care for CHIP Perinate members, who are unborn children of pregnant women who can’t get Medicaid or traditional CHIP due to income or immigration status.

With CHIP Perinate, you can get benefits like:

  • Prenatal care
  • Labor and delivery
  • Postpartum care associated with the birth of your child
Benefits Overview

Here is a summary of the benefits you get as an Amerigroup member.

Benefits Overview

Do you need a referral or prior authorization?

Sometimes your primary care provider will need you to see a specialist or another provider for care or services he or she can’t provide. This is called a referral. Your doctor may also need us to approve certain services before you get them. This is called prior authorization. To learn more about referrals and prior authorizations, click on the links below.

Referrals and Prior Authorizations

What does it cost?

Nothing. If you qualify, you have no fees or copays for CHIP Perinatal benefits. Find out more by visiting the CHIP website.

What is a referral?

A referral is a request from your perinatal provider for you to get care or treatment from a specialist. If your perinatal provider cannot give you the care you need, he or she will give you a referral to see a specialist. The referral form tells you and the specialist what kind of health care your unborn child needs. Be sure to take the referral form with you when you go to the specialist.

What services do not need a referral?

The following services do not require a referral and can be accessed directly:

  • Emergency care
  • Obstetrical/Gynecological care
Eligibility & Enrollment

Get the benefits you need — doctor care, hospital care, health screenings, prescription coverage, and more. Find out if you’re eligible and how to choose Amerigroup.

Eligibility & Enrollment

Pharmacy & Prescription Drugs

Amerigroup works with Express Scripts to provide your pharmacy benefit. We cover a wide range of prescriptions and many over-the-counter medicines.


CHIP Perinate members do not have pharmacy copays.

Search for name brand and generic drugs
that are on your formulary:

Searchable Formulary

Pharmacy & Prescription Drugs

Prior Authorization

You can email and ask us for an exception at wrkgp-submitmyexceptionreq@anthem.com.

Drug Interactions and Side Effects

Learn more about drug interactions or side effects on the ESI Drug Information website.

Express Scripts Prescription Drug Reimbursement Form

ESI Online Registration Instructions

FAQs

Find answers to your questions below.