The Well Woman visit focuses on preventive health. The exam will include a clinical breast exam and a pelvic exam, in which a clinician checks for any masses or abnormalities. This is also the time to discuss birth control and general health screening needs, such as cholesterol and diabetes testing.
Additional areas that may be addressed include exercise, healthy eating, tobacco, alcohol, drugs, sexual activity, cervical cancer screening, breast cancer screening, colorectal cancer screening and STI screening.
For more information, visit
Healthy Texas Women.
Services Covered by Healthy Texas Women
- Contraceptive services
- Clinical breast exams
- Pregnancy testing and counseling
- Preconception health screenings (e.g., screening for obesity, hypertension, diabetes, cholesterol, smoking and mental health)
- Sexually transmitted infection services
- Sterilizations
- Treatment for the following chronic conditions:
- Hypertension
- Diabetes
- High cholesterol
- Treatment of postpartum depression
- Breast and cervical cancer screening and diagnostic services
- Radiological procedures, including mammograms
- Screening and diagnosis of breast cancer
- Diagnosis and treatment of cervical dysplasia
- Immunizations
Note: Medications will be reimbursed through the Medicaid Vendor Drug Program.
To learn more, visit the Online Fee Lookup for Texas Medicaid.
Long-Acting Reversible Contraception
Long-acting reversible contraception is a highly effective contraceptive option with high rates of patient satisfaction and method continuation. To learn more about implementing the Texas Medicaid policy on providing LARC services, see the Texas LARC Toolkit (PDF).
Information and resources from Texas Health and Human Services.
Who is Eligible for Healthy Texas Women
The program is for women who:
- Are ages 18–44. A woman is considered 18 on the day of her 18th birthday and 44 through the last day of the month of her 45th birthday.
- Are ages 15–17 and have a parent or legal guardian apply, renew and report changes to her case on her behalf. Women are considered 15 the first day of the month of her 15th birthday and 17 through the day before her 18th birthday.
- Are U.S. citizens or qualified immigrants.
- Live in Texas.
- Do not currently get full Medicaid benefits, CHIP or Medicare Part A or B.
- Are not pregnant.
- Do not have private health insurance that covers family planning services (unless filing a claim on the health insurance would cause physical, emotional or other harm from a spouse, parent or other person).
- Have a countable household income at or below 200 percent of the federal poverty level.
Monthly Income Limits for Healthy Texas Women
| Household Size |
Monthly Income |
|
1
|
$2,127
|
|
2
|
$2,874
|
|
3
|
$3,620
|
|
4
|
$4,367
|
|
5
|
$5,114
|
|
6
|
$5,860
|
|
7
|
$6,607
|
Information and resources from Texas Health and Human Services.
How to Apply for Healthy Texas Women
Healthy Texas Women is a Texas Health and Human Services program. The application process is through Texas HHS.
WCCHD PESS team can help assist individuals through the application process. Reach out to PESS for assistance.
Online Application
Women can apply by filling out an online application (works on desktop computers only):
Mailed Application
They can mail or fax a completed application and required documents to:
Healthy Texas Women
P.O. Box 149021
Austin, TX 78714-9021
Fax: 866-993-9971 (toll free)
Download applications at:
In-person Application
Women can also apply at Texas Health and Human Services family planning clinics, local Texas HHS benefit offices, participating WIC offices and participating community-based organizations. Call 2-1-1 to find offices near you.
To order large quantities of the application, use the online order form.
Notes:
- Providers and community-based organizations can help women fill out and fax their applications to Texas Health and Human Services.
- If a woman fills out an application at the clinic or doctor's office and Texas Health and Human Services gets it that same month, the services she receives that day will be covered if she meets program eligibility requirements.
- Texas Health and Human Services has developed an English screening tool, a Spanish screening tool and an income worksheet to help providers screen for eligibility and identify acceptable forms of proof of citizenship, identity and income. These tools are found in the Healthy Texas Women Policy and Procedure Manual (PDF). Do not fax the screening tool with the application.
Information and resources from Texas Health and Human Services.
Cost for Services
- Basic health exam + birth control counseling: $15
- Basic well-woman exam + pap smear for women under 30 years old: $90
- Basic well-woman exam + pap smear + HPV for women over 30 years old: $120
- Pregnancy screening: $25
HEALTHY TEXAS MEDICAIDIf you have Healthy Texas Medicaid, you qualify for services free to charge. Please note, if you need treatment or medical services that are not covered by this program, you might have to pay for those services.
Additional Resources
