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CHIP Nueces Directory V1.Sv

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CHIP Nueces Directory V1.Sv STAR Kids Provider Directory Directorio de proveedores MEMBER SERVICES SERVICIOS PARA MIEMBROS Toll-free / Llame sin cargo: HIDALGO SERVICE AREA 1-844-508-4674 ÁREA DE SERVICIO DE HIDALGO TTY: 1-800-735-2989 driscollhealthplan.com An affiliate of Driscoll Health System Un afiliado del Sistema de Salud Driscoll HISKKC-PD HISKKC-0921 About Us Acerca de nosotros Driscoll Health Plan is a non-profit, communi- Driscoll Health Plan es un plan de salud ty-based health plan offering health care coverage comunitario sin fines de lucro que ofrece cobertura to 24 counties and over 100 cities in South Texas. de atención médica a 24 condados y más de 100 ciudades en el sur de Texas. Driscoll Health Plan is part of the Driscoll Health System. This also includes the Driscoll Children’s Driscoll Health Plan es parte del Driscoll Hospital, Quick Care Clinics, Maternal Fetal Health System. Esto también incluye el Driscoll Specialty Centers, and our specialist and physician Children’s Hospital, Quick Care Clinics, Maternal groups. The Driscoll Health System has been taking Fetal Specialty Centers, y nuestros grupos de care of kids and their families in South Texas for especialistas y médicos. Driscoll Health System ha more than 60 years. estado cuidando de los niños y sus familias en el sur de Texas por más de 60 años. Our large network of providers includes those you already know and trust. DHP members have access Nuestra gran red de proveedores incluye a aquellos to local wellness and prevention programs as well que ya conoce y en los que confía. Los miembros as education classes. Everything you need to keep de DHP tienen acceso a programas locales de you and your family healthy can be found right bienestar y prevención, así como clases de here with Driscoll Health Plan. educación. Todo lo que necesita para mantenerlo a usted y a su familia saludables se puede encontrar aquí mismo con Driscoll Health Plan. If you would like to choose Driscoll Health Plan (DHP), follow these steps and call 1-800-964-2777. Under “Health Plan Name” pick Look through this DHP Fill out the rest of the form. 1 Driscoll Health Plan as your 2 directory and pick a Primary 3 Sign and date it, and then mail 1st choice for each STAR Kids Care Provider. Write down your it using the return envelope. member. 1st and 2nd choices for doctors. Si desea elegir Driscoll Health Plan (DHP), siga los siguientes pasos y llame al 1-800-964-2777. Debajo de “Nombre del plan de Revise este directorio de DHP y Llene el resto del formulario. 1 salud”, escoge Driscoll Health 2 elija un Proveedor de Atención 3 Fírmelo y anote la fecha, y Plan como su primera opción Primaria. Anote su primera y luego envíelo por correo postal para cada miembro de STAR Kids. segunda opciones de médicos. usando el sobre de devolución. SAMPLE driscollhealthplan.com | Member Services: 1-844-508-4674 | Service Coordination: 1-844-508-4675 STAR Kids Value-Added Services* RESPITE CARE SERVICES** • $25 gift card for Members who get a Post-Partum • Up to 32 hours of respite care each year for Checkup within 21-56 days after delivery. Members who get personal care services. • $60 gift card for over the counter products. Ages 6 PEST CONTROL** to 15 months. • High-risk Members with chronic health conditions • Up to $75 gift card for Members who complete a can get pest control services. Triple P, DHP, or Case Management educational program. ID WRISTBAND* • Members can receive an ID wristband. Ages 5 to EXTRA HELP FOR PREGNANT WOMEN* 21. • $100 gift card for Pregnant Members who attend a Cadena de Madres educational baby shower. SENSORY PRODUCTS** • $20 gift card for new moms who attend a • Up to $75 towards a sensory packet for Members Parenting Class. who meet medical criteria. • $20 gift card for new moms who have a Home COMMUNITY-BASED SPECIALTY SERVICES** Visit. • Members can participate in Community-Based • $20 gift card for completing a Pregnancy Health Specialty Services limited to $500 per year. Must Risk Assessment. meet medical criteria. Services can include: • Nutrition and breastfeeding help. -Equine therapy, Music therapy or Aquatic therapy • One year of grocery delivery service for High-Risk ASTHMA SERVICES** Pregnant Members. • Members who meet medical criteria will get 2 For a listing of our Baby Showers, Parenting and hypoallergenic pillow covers and bed covers. Birthing classes please visit: • $20 gift card for Members who refill five months driscollhealthplan.com/get-ready-for-baby of asthma controller medicines. Refills must be continuous. SPORTS AND SCHOOL PHYSICALS* • One sports/school physical each year. Ages 4 to EYEGLASSES* 21. • $150 to upgrade frames and lenses every two years. Ages 2 and older. NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES * FIRST AID KIT* • Help getting a ride to local food pantries, health • One first-aid kit per family for new Members. Ages education classes, and grocery stores. 2 to 5. HEALTH AND WELLNESS* GIFTS FOR COMPLETING CHECKUPS* • $50 gift card for Members who join a health and • $20 gift card for Members who get four on-time wellness or sports program or participate in a 5k Newborn Texas Health Steps Checkups. race. • $20 gift card for Members who get two Texas • One Activity Tracker for weight management. Health Steps Checkups. 12 and 15 months. Ages 10 to 18. • $20 gift card for Members who get a Texas Health • Up to $150 to help Members with the registration Steps Checkup each year. Ages 2 to 20. cost to a special needs camp. Ages 6 to 20. • $20 gift card for Members who get a Mental • Lice Remediation Treatment for members. Health follow-up within 7 days of discharge from an in-patient Mental Health hospital. *This is not an all-inclusive list of extra services. • $20 gift card for Members who follow-up with Restrictions and/or limitations apply. their provider within 7-14 days of discharge from These extra services are valid September 1, 2021 – the hospital. August 31, 2022. • $25 gift card for Pregnant Members who get a Prenatal Checkup during the first trimester or within 42 days of joining DHP. For more information on these services, please visit our website or contact: driscollhealthplan.com | *Member Services: 1-844-508-4674 | **Service Coordination: 1-844-508-4675 1 Servicios de Valor Añadido de STAR KIDS* SERVICIOS DE CUIDADO DE RELEVO** embarazadas inscritas en el plan que se hagan un • Hasta 32 horas de cuidado de relevo cada año para chequeo prenatal durante el primer trimestre o los miembros que reciben servicios de cuidado dentro de los 42 días de inscribirse en DHP. personal. • Tarjeta de regalo de $25 para las mujeres inscritas en CONTROL DE PLAGAS** el plan que se hagan un control de posparto entre • Los miembros de alto riesgo con enfermedades los 21-56 días después de dar a luz. crónicas pueden recibir servicios de control de • Tarjeta de regalo de $60 para productos de venta sin plagas. receta. 6 a 15 meses de edad. PULSERA DE IDENTIFICACIÓN* • Tarjeta de regalo de hasta $75 para miembros que • Los miembros pueden recibir una pulsera de completen un programa educativo Triple P, DHP, o identificación. 5 a 21 años de edad. administración de casos. PRODUCTOS SENSORIALES** AYUDA ADICIONAL PARA EMBARAZADAS* • Hasta $75 hacia un paquete sensorial para los • Tarjeta de regalo de $100 para las mujeres Miembros que cumplan con los criterios médicos. embarazadas inscritas en el plan que asisten a un SERVICIOS ESPECIALIZADOS DISPONIBLES EN LA baby shower educativo de Cadena de Madres. COMUNIDAD** • Tarjeta de regalo de $20 para las nuevas mamás por • Los miembros pueden participar en Servicios asistir a una clase de crianza de niños. Especializados disponibles en la comunidad, con un • Tarjeta de regalo de $20 para las nuevas mamás que límite de $500 por año. Debe cumplir los criterios tienen una visita a su hogar. médicos. Los servicios pueden incluir: • Tarjeta de regalo de $20 por completar la evaluación - Equinoterapia, Musicoterapia o Terapia Acuática de riesgos para la salud durante el embarazo. SERVICIOS PARA EL ASMA** • Clases de parto y ayuda con amamantar y nutrición. • Los miembros que cumplan con los criterios • Un año de servicio de entrega de comestibles para médicos recibirán 2 fundas de almohada miembros embarazadas de alto riesgo. hipoalergénicas y fundas para la cama. Para obtener una lista de nuestros baby showers, clases • Tarjeta de regalo de $20 para los miembros que de crianza y clases de parto, visite: rellenan cinco meses de medicamentos para el driscollhealthplan.com/es/preparese-para-su-bebe controlador del asma. Las recargas deben ser EXÁMENES FÍSICOS PARA DEPORTES Y PARA LA continuas. ESCUELA* ANTEOJOS* • Un examen médico de aptitud física deportiva o • $150 para marcos y lentes cada dos años. Para escolar por año. 4 a 21 años de edad. miembros mayores de 2 años. KIT DE PRIMEROS AUXILIOS* SERVICIOS DE TRANSPORTE MÉDICO NO DE • Un kit de primeros auxilios por familia para nuevos EMERGENCIA* miembros. 2 a 5 años de edad. • Ayuda a conseguir un viaje a las despensas de REGALOS POR COMPLETAR CHEQUEOS DE SALUD* alimentos locales, clases de educación para la salud, • Tarjeta de regalo de $20 para los miembros que se y tiendas de comestibles. hagan cuatro chequeos de Pasos Sanos de Texas a su SALUD Y BIENESTAR* bebé recién nacido. • Tarjeta de regalo de $50 para los miembros que se • Tarjeta de regalo de $20 para los miembros que se inscriben en un programa de salud y bienestar, de hagan dos chequeos de Pasos Sanos de Texas. 12 y deportes o participan en una carrera de 5K.
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