Search results
Form 5020, Application for Texas Health Insurance Premium Payment (HIPP) Program. Instructions for Opening a Form. Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. Click here for instructions on opening this form. Documents. Effective Date: 7/2017. 5020.pdf.
- Health Insurance Premium Payment (HIPP) Program
After we review your case, we will let you know if your...
- Application for Texas Health Insurance Premium Payment (HIPP) Program
Application for Texas Health Insurance Premium Payment...
- Health Insurance Premium Payment (HIPP) Program
After we review your case, we will let you know if your family can get HIPP. Forms. You can print HIPP forms by clicking the links below. Form 5020, HIPP Application Use this to apply to HIPP. Form 5021, HIPP Consent Use this if you want another person to be able to talk to us about your family’s case. Form 5022, HIPP Direct Deposit
Application for Texas Health Insurance Premium Payment (HIPP) Program. Print in blue or black ink only. Step 1. Tell us about the person in your family who can get health insurance at work (or another place). Step 2. Tell us about the health insurance or COBRA benefits the person in Step 1 can get. COBRA is a type of health insurance you can ...
How Do I Apply for HIPP for My Family? You can apply for HIPP online. Or you can print out the form and either fax it to 1-866-409-1188 (toll-free) or mail it to: GET HIPP TEXAS P.O. Box 201120 Austin, TX 78720-9774. You will also need to submit your employer’s insurance policy’s Summary of Benefits and Rate Sheet with your application.
HIPP is the Texas Medicaid program that helps families pay for employer-sponsored health insurance premiums. It is for families with at least 1 person who gets Medicaid. People enrolled in any Medicaid program, except for the Children's Health Insurance Program (CHIP) and STAR Health managed care program , are eligible to enroll in HIPP.
It is a Texas Health Insurance Premium Payment program that helps families pay for private health insurance. Your family can get HIPP if you have a child or young adult in your family that gets Medicaid and someone in your family has private health insurance through their employer. If you family gets HIPP, Medicaid will pay your insurance premium.
Payment Program (HIPP) Do you need help paying for your health insurance? Call 1-800-440-0493. Or write: Texas Health and Human Services Commission TMHP-HIPP PO Box 201120 Austin, Texas 78720-1120 Questions about this form or about benefits • Go to YourTexasBenefits.com. or • Call 2-1-1 (if you can’t connect, call 1-877-541-7905).
