Fequently Asked Questions about Medicaid
We know Medicaid can be confusing—whether you're applying for the first time, renewing your coverage, or thinking about switching providers. That’s why we’ve put together answers to some of the most common questions we hear from patients. If you don’t see your question listed, our team is always happy to help in person, over the phone, or during one of our Medicaid Help Days.
Medicaid is a state and federal program that helps cover medical costs for people with limited income and resources. It may also offer benefits not normally covered by Medicare, like dental, vision, and transportation.
You may qualify if you are:
-
Pregnant
-
A child or teenager under 19
-
A parent or caretaker of a child
-
An adult over 65
-
An adult with a disability
Eligibility is based on income and household size.
-
You can apply:
-
Online at YourTexasBenefits.com
-
By calling 2-1-1
-
In person with help from our Outreach department
-
You’ll usually need:
-
Proof of income (pay stubs or a letter from employer)
-
Social Security number or immigration documents
-
Proof of identity (like a driver’s license or ID)
-
Proof of Texas residency (like a utility bill)
-
Yes! Our clinic has staff in our Outreach department who can help you apply or renew your Medicaid coverage. Just ask during your visit or call us for an appointment.
Coverage includes:
-
Doctor visits
-
Lab tests and X-rays
-
Hospital care
-
Prescription medications
-
Mental health services
-
Preventive care and screenings
-
Dental and vision care for children
-
Yes, we proudly accept Medicaid, including STAR, CHIP and Texas Healthy Women plans
Call the number on the back of your Medicaid card and ask to change your PCP to La Esperanza Clinic. You can also visit YourTexasBenefits.com and make the change online. Need help? Our team can walk you through it.
Yes. We offer services on a sliding fee scale based on your income. We believe everyone deserves access to care.
Yes. Medicaid coverage must be renewed every year. Watch for renewal letters or reminders and respond promptly to avoid losing coverage.
We can help you reapply or explore other coverage options. Call or visit us for assistance.
CHIP (Children’s Health Insurance Program) is similar to Medicaid but for children in families who earn too much to qualify for Medicaid. We accept both CHIP and Medicaid.
Undocumented individuals generally do not qualify for full Medicaid. However, they may be eligible for emergency Medicaid or receive services through our sliding fee scale.
Pediatric Providers
We have an amazing team of providers who are ready to give you and your family the best comprehensive, preventative health and dental care available.
We Accept Insurance
La Esperanza Clinic accepts a wide range of insurance plans such as Aetna, Blue Cross Blue Shield, Humana, Medicaid, Medicare and United Healthcare to make your healthcare as affordable and accessible as possible.
If you have questions about insurance or would like to know if La Esperanza Clinic accepts your insurance plan, call our Billing Department at (325) 658-5339.
Why choose La Esperanza Clinic for your child?
Experts in Pediatrics
Our experts possess extensive knowledge and experience in providing specialized care for children of all ages. They are committed to staying up-to-date with the latest advancements in pediatric medicine.
Comprehensive Services
We offer a wide range of pediatric services, including routine check-ups, vaccinations, developmental assessments, acute illness care, chronic disease management, and more. Whatever your child's healthcare needs may be, we're here to address them.
Child-Friendly Environment
Our clinic is designed to create a warm and welcoming atmosphere for children and their families. We understand the importance of a comfortable environment to alleviate anxiety and promote a positive experience.
Personalized Care
We believe in individualized care that recognizes the unique needs of every child. Our pediatricians take the time to listen, understand, and address your concerns, ensuring that your child receives personalized attention and the best possible care.