An official State of Texas website.
Revision 18-4; Effective October 1, 2018
CHIP
Households are required to pay copayments for medical services or prescription drugs at the time of the service. The applicable copayment requirements are:
| Coverage Description | At or below 151% FPIL | Above 151% up to and including 186% FPIL | Above 186% up to and including 201% FPIL |
|---|---|---|---|
| Preventative health care and shots | $0 | $0 | $0 |
| Non-emergency ER visit | $5 | $75 | $75 |
| Generic prescription | $0 | $10 | $10 |
| Name-brand prescription | $5 | $35 | $35 |
| Inpatient hospital care (per admission) | $35 | $75 | $125 |
| Outpatient hospital care | $0 | $0 | $0 |
| Other doctor visits | $5 | $20 | $25 |