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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 ...
- Form 5020, Application for Texas Health Insurance Premium Payment (HIPP ...
Form 5020, Application for Texas Health Insurance Premium...
- Health Insurance Premium Payment (HIPP) Program
HIPP is the Texas Medicaid program that helps families pay...
- Form 5020, Application for Texas Health Insurance Premium Payment (HIPP ...
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.
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.
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.
Gather required documentation, including proof of income and tribal membership. 2. Complete the necessary forms, ensuring all sections are filled out accurately. 3. Sign and date the application and other related documents. 4. Submit your application along with the gathered documents to the designated office. 5.
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.
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).
