81494 Sup CHIP Bexar 0911 Cover - Web.indd - Fostercare Texas

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If you don’t see your provider (doctor) in this directory, please call us at1-866-912-6283. We are always updating our provider listings and will behappy to help you find a doctor that is right for your child. Please call us!Si no encuentra el nombre de su proveedor (doctor) en este directorio, porfavor, llámenos al 1-866-912-6283. Actualizamos la lista de doctorescontinuamente y con gusto le ayudaremos a encontrar al doctor indicadopara el niño. Por favor, ¡llámenos!Updated: 9/19/2011
Superior HealthPlan Network, Fall/Otoo 2011 Member Services / Servicios para Miembros 1-866-912-6283INTRODUCTIONWELCOME TO SUPERIOR HEALTHPLAN!Superior HealthPlan’s STAR Health is a health care program for children and young adults in foster care across theState of Texas. Superior works with many doctors, clinics, and hospitals in your community to give the Member themedical care needed. This directory lists the ones that are part of the Superior Provider Network.Please Remember: only the Medical Consenter can choose or change a child’s doctor. If you are the caregiver, but notthe Medical Consenter, please call the Medical Consenter for help.SUPERIOR SERVICE FOR YOU AND YOUR FAMILYIf you have any questions about Superior HealthPlan or about this directory, call Member Services at 1-866-912-6283.CHOOSING YOUR PRIMARY CARE PROVIDER (DOCTOR)The Medical Consenter must choose a doctor for each eligible family member from our list. Your/your child’s doctorhas the job of taking care of the Member and sending you/your child to other Providers when you/your child needsthem. If you/your child is female, you may be able to choose an obstetrician (OB) or gynecologist (GYN) as your/yourchild’s doctor. The Medical Consenter can choose from:· Pediatricians (they only see children)· General/Family Practice (they see everyone in your family)· Internal Medicine (they usually see adults)· Obstetrician/Gynecologist (OB/GYN) (they see females)· Clinics (RHC/FQHC)Each eligible Superior Member can have their own primary care provider. If you need help or don’t see your/yourchild’s doctor on this list, call Superior’s Member Services at 1-866-912-6283.CHOOSING AN OB/GYNYou may choose any OB/GYN doctor from the Superior Provider Network to take care of your/your child’s femalehealth care needs without a referral from their doctor. An OB/GYN can help you with your/your child’s pregnancy care,yearly checkups and any female problems you/your child may have. Call Superior’s Member Services at1-866-912-6283 if you need help choosing an OB/GYN.BEHAVIORAL HEALTHBehavioral Health refers to mental health and alcohol and drug abuse treatment. Superior’s behavioral health Provider,Cenpatico, has a group of specialists that can help you. Call Cenpatico at 1-866-218-8263 24 hours a day, 7 days aweek. You do not need a referral from your doctor for behavioral health services.FAMILY PLANNINGSuperior Members can receive family planning services without a referral from their doctor. You can get your/yourchild’s family planning services from your/your child’s doctor or go to any family planning clinic that takes Medicaid.Call Superior’s Member Services at 1-866-912-6283 if you need help choosing a family planning Provider.OPTHALMOLOGIST OR THERAPEUTIC OPTOMETRISTSAll Members may select an in-network ophthalmologist or therapeutic optometrist to provide eye health care services,other than surgery, and have access without a doctor referral to eye health care services from a network specialist who isan ophthalmologist or therapeutic optometrist for non-surgical services. To find an ophthalmologist or therapeuticoptometrist, call Superior Member Services at 1-866-912-6283.TEXAS HEALTH STEPSTexas Health Steps provides free regular medical and dental checkups to infants, children, teens and young adults withMedicaid. It also offers other services like vaccines and vision and hearing screenings. You can setup a Texas HealthSteps checkup with your child’s doctor or with any Superior Provider that gives Texas Health Steps checkups. You donot need a referral. Need help? Call Superior toll-free, Monday to Friday, 8 a.m. to 5 p.m., at 1-866-912-6283.1Updated: 9/19/2011SH1E-S-0911
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2100 South IH-35, Suite 202Austin,
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81494 Sup CHIP Bexar 0911 Cover - Web.indd - Fostercare Texas

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