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STAR Frequently Asked Questions

Texas Children’s Health Plan offers STAR in Austin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jasper, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Tyler, Walker, Waller, and Wharton counties.

Please refer to the Member Handbook, or you can call our Member Services Department at 1-866-959-2555.

You can use our “Find a Doctor” tool to find a main doctor. Your main doctor is your “medical home” for health care. Your main doctor can arrange specialty care as needed. If you don’t find your doctor listed or need help picking one, call Member Services at 1-866-959-2555.

You can call our Member Services Department at 1-866-959-2555.

You can find a list of upcoming events on our events page, or call 1-800-990-8247.

You can go to any Medicaid Family Planning doctor, in or out of network. You don’t need a referral from your main doctor.

Regular checkups and shots keep your children healthy. You can go to any Texas Health Steps doctor without a referral. To find a Texas Health Steps doctor near you, call us at 1-866-959-2555 or use our "Find a Doctor" tool.

You can get behavioral (mental) health and substance services without a referral from your main doctor. You can use our "Find a Doctor" tool to find one near you. To use these services, call Texas Children’s Health Plan toll-free at 1-800-731-8529.

Sometimes your main doctor may not be able to provide you the treatment you need. Your main doctor will then refer you to a specialist. Specialists are listed in our "Find a Doctor" tool.

You can get eye exams without a referral from your main doctor. To use these services, call Block Vision at 1-800-879-6901.

To find out which drug stores are in Texas Children’s Health Plan’s network, you can call us at 1-866-959-2555, or review our list of pharmacies in our pharmacy directories.

Yes. Members age 21 and over will be able to get basic dental care. This includes a comprehensive oral exam, 2 routine exams a year, 2 cleanings a year, emergency exams, X-rays, and fillings. For more information call FCL Dental's toll-free number at 1-866-548-8123.

No. You are not responsible for paying for covered services. Doctors, hospitals, and other cannot require you to pay co-payments or any other amount for covered services.

You should always ask your doctor about your child’s health. If you don’t know who your doctor is, call the Member Services Department at 1-866-959-2555. You can also call our nurse help line at 1-800-686-3831 to ask questions about your child's health. Nurses are available 24 hours a day, 7 days a week.

A complaint is when you are not happy with your health care or services provided by your doctor, his or her office staff, or the Texas Children's Health Plan staff.

We want to help. If you have a complaint, please call Member Services toll-free at 1-866-959-2555 to tell us about your problem.