Medicaid Women’s Health Program in Texas


The Women’s Health Program provides select Medicaid services to low-income women in Texas between the ages of 18 and 44. Women can apply within the month of their eighteenth birthday. Coverage lasts for one year for eligible women and plans are renewable each year for which the applicant qualifies. To qualify for this program, you must meet the age and residency requirements (a Texas resident and U.S. citizen or national). In addition, you must have no health insurance coverage and a household income of no more than 185 percent of federal poverty level. Qualifying women must also not be pregnant, sterile, infertile, or have a medical problem that prohibits them from getting pregnant.

Women who are eligible for coverage can receive free family planning services of various sorts. In order to keep Texas women healthy and reduce the amount of unintentional pregnancies, the Women’s Health Program offers various forms of birth control and education.

 

Texas Women's Health Program

 

 

Income Guidelines

Family Size       |       Monthly Income

1                                       $1,723

2                                       $2,333

3                                       $2,944

4                                       $3,554

5                                       $4,165

6                                       $4,775

 

For households over six members, add $611 per person.

 

Texas Women’s Health Program Benefits

Coverage through this program is available on the following health care services related to family planning and women’s health.

  • One annual exam for family planning, which may include:
    • Pap smear
    • Screenings for:
    • Breast and cervical cancers;
    • Diabetes;
    • Sexually transmitted diseases;
    • High blood pressure;
    • Other health issues found in regular exams
  • Contraceptives (does not include the morning after pill)

    • Birth control pills
    • Vaginal ring
    • Hormone patch
    • Diaphragm
    • Male and female condoms
    • Spermicide
    • Intrauterine device (IUD)
    • Cervical cap
    • Depo-Provera
    • Methods to prevent pregnancy (tubal ligations or Essure)
  • Counseling and education for family planning relevant to your method of birth control
  • Information on all methods of contraception
  • Follow-up visits
  • Information on long-term birth control methods and sterilization

 

How to Apply

Complete the application for family planning and reproductive health services through the Women’s Health Program by visiting a certified clinic or printing a form and sending it in. You may also call the Texas Women’s Health Program to obtain an application at 866-993-9972. The application will let you know what documents to include, such as an ID or driver’s license, proof of income (pay stubs), child care and child support payments, and proof of citizenship or immigration status. Once you have gathered all necessary proof and have filled out the form, you can submit your documents to an HHSC Benefits Office, fax to 866-933-9971, or mail them to:

Texas Women’s Health Program
10001 W IH 20
Midland, TX 79706

Application (English)

Application (Español)

 

Resources

Texas Women’s Health Program

 

Apply for Benefits

Locate a Provider

 

Contact the Texas Women’s Health Program:

800-335-8957

 

 

 

References:

1. Texas Women’s Health Program. “Who Can Apply.” http://www.texaswomenshealth.org/page/who-can-get-womens-health-program-benefits.

2. Texas Women’s Health Program. “Benefits.” http://www.texaswomenshealth.org/page/benefits.

3. Texas Women’s Health Program. “How to Apply.” http://www.texaswomenshealth.org/page/how-to-apply.