Renewing Benefits
Don’t risk losing your Medicaid benefits
Superior HealthPlan wants to help you get well and stay well. That’s why it’s important to know how and when you need to complete your Texas Medicaid renewal to maintain your eligibility for continued benefits. Below are some common questions about the renewal process and a list of resources that are available to help you get the care you need.
How do I renew my Texas Medicaid or CHIP health-care benefits?
Texans receiving Medicaid or CHIP have to renew their benefits each year. This is called renewal or recertification. Superior wants to make sure that Texas Medicaid renewal is an easy process. There are two ways to make sure your benefits and services continue:
- Look for an envelope marked “time sensitive” from the Texas Health and Human Services Commission (HHSC). It will include a letter. You will get this letter a few months before your benefits end. This is a signal that your Texas Medicaid renewal is upcoming. The letter will include a form that you will need to sign. You may also be asked to provide more information.
- Go to Your Texas Benefits. Here, you can find the Texas Medicaid renewal form and other information about renewing your benefits. Create an account if you don’t have one. It only takes a few minutes. From there, you can check the status of your Medicaid renewal and make sure all information is up to date. Confirm your account shows your most current address.
Important: If any information is missing from your renewal application, HHSC will notify you. Be sure to respond promptly to avoid delays in processing your renewal and prevent losing your benefits.
If you or your child are eligible for Medicaid or CHIP, you can continue your enrollment with Superior HealthPlan. If you are no longer eligible for Medicaid or CHIP, you can explore Superior’s Marketplace (Ambetter from Superior HealthPlan) and Medicare (Wellcare by Allwell from Superior HealthPlan) options.
If you don’t take any action, you might lose your health insurance. That’s why it’s important for you to complete the Texas Medicaid renewal process each year.
If you do not complete the Medicaid renewal process on time, you will lose your Medicaid or CHIP benefits. However, if you regain Medicaid or CHIP eligibility within six months, you may be re-enrolled with the same health plan and doctor. To avoid this risk and ensure uninterrupted coverage, it's important to complete and submit all Medicaid renewal documents before the deadline.
If you got a “Notice of Benefit Denial or Reduction” letter from HHSC, and you believe the decision is not correct, you may request a hearing to appeal the decision. If you want to appeal, you must do so within 90 days after the action you do not agree with occurred. Make sure to respond to any requests from HHSC for missing information promptly. You may have received the denial because you did not provide enough information for HHSC to determine eligibility for assistance. Follow the instructions in the letter or call 2-1-1 for help.
If you have any questions or need help with your Texas Medicaid renewal, call Member Services at the number on the back of your Superior member ID card. You can also call the Health and Human Services Commission at 2-1-1 (or 1-877-541-7905). If you are not receiving Medicaid or CHIP benefits and you want to apply, call 2-1-1.
There are many resources that can help you get the information you need. These include:
- Your Texas Benefits - Renew Medicaid or CHIP coverage, apply for benefits, print your Medicaid ID card or check the status of your application.
- 2-1-1 Texas - Find local and community resources for help with food, housing and health care.
- Texas Health and Human Services - Learn more about Medicaid programs in Texas.
- CHIP Medicaid - Find information about renewing Medicaid or CHIP benefits and enrollment fees.
Want to learn more about the health care we provide in your area? Click on For Members for details about Superior’s products and services.