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4.11 Health Insurance Premium Payment (HIPP) Program
The HIPP Program reimburses for the cost of medical insurance premiums. An individual is eligible for the HIPP Program when Medicaid finds it more cost effective to reimburse for an individual's private health insurance premiums than to reimburse his or her medical bills directly through Medicaid.
By ensuring access to private health insurance, individuals who are eligible for the HIPP Program may receive services that are not normally covered through Medicaid. Also, members of the family who are not eligible for Medicaid may be eligible under the HIPP Program.
Providers can benefit from this program by helping the uninsured population, saving money for the state of Texas, and receiving a higher payment from the private health insurance carrier. Providers can increase HIPP Program enrollment by displaying brochures to educate their Medicaid clients about the program.
For more information, call the TMHP-HIPP Program at 1-800-440-0493.
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