Texas program
Healthy Texas Women (a mother's own coverage)
Healthy Texas Women offers free well-woman and family-planning care for women ages 15–44 whose income fits.
What it is
Healthy Texas Women offers free well-woman and family-planning care for women ages 15–44 whose income fits.
Your child's coverage does not insure you. Healthy Texas Women can cover some of a mother's own routine care when she has no full health plan of her own. It is a limited benefit, so full health insurance needs a separate conversation.
Who this can help
- Women must be ages 15–44, not pregnant and without comprehensive health coverage. HHSC checks the household’s income.
- The March 1, 2026 table uses 204.2% of the federal poverty level, or $5,616 monthly for four people.
What you get
- Free well-woman visits, screening and birth control.
- Some care for diabetes, high blood pressure and depression.
What the rules cover
- Covered services focus on well-woman care, contraception, screening and selected chronic conditions. Hospital stays and cancer care are outside this program.
- A working spouse does not itself prevent eligibility. The spouse’s income still enters the household test.
If you decide to apply
- Ask HHSC which adult coverage category fits through Healthy Texas Women or Your Texas Benefits.
- Have your income, insurance information and any pregnancy or postpartum dates ready.
- Review the covered-service notice with your own clinic if you are approved.
Healthy Texas Women or Your Texas Benefits: 877-541-7905 · Official page ↗
What happens next
- HHSC’s notice identifies the approved program and services. It is the mother’s coverage decision, separate from her child’s.
- If the category does not fit, the financial counselor can discuss Marketplace or continuation coverage and whether another adult Medicaid category applies.
Good to know
Losing a job does not automatically create adult Medicaid eligibility in Texas. Healthy Texas Women cannot replace hospital insurance.
Other details
- Pregnancy or postpartum status can change which category HHSC checks. The mother’s own clinician supplies any needed medical records.
Official sources
“Could Healthy Texas Women cover my own routine care, and what full-coverage options should we compare if it would leave hospital care unpaid?”
Why I’m asking: I want to keep my own health care from getting lost while we arrange my child’s coverage.
More background and detailed requirements
Additional program information and published rules
Who does what
The three parts, side by side. The agency decides; nobody on this page does.
You
Apply for your own coverage separately from the child's. Disclose pregnancy or postpartum status.
Your social worker
Refers the mother's coverage question separately instead of treating the child's Medicaid as the parent's insurance.
The care team
Nothing. The mother's own clinician supplies any records.
- Who decides
- HHSC
- Ask the agency
- “Which adult category am I being tested for: parent/caretaker Medicaid, Healthy Texas Women, or neither, and what is the income limit for my household?”
How to apply
First step: Apply at healthytexaswomen.org or through YourTexasBenefits.com. Ask 877-541-7905 which adult category is being tested.
- Apply at healthytexaswomen.org or through YourTexasBenefits.com. Ask 877-541-7905 which adult category is being tested.
Official application / program page ↗
Where it starts: healthytexaswomen.org or Your Texas Benefits
What to gather
- Adult income and insurance information
- Pregnancy or postpartum dates if any
How long: Apply when circumstances change. Standard medical-application timing.
What a yes looks like
A notice listing the covered services.
What a no looks like, and the next move
Ask about the correct adult category, then the Marketplace or COBRA for full coverage.
Watch out
- Not comprehensive insurance. A mother who loses employer coverage should also check the Marketplace and COBRA.
- A working father does not bar it. His income counts toward the income limit.
- Stopping work does not create adult Medicaid in Texas.
The numbers and the rules
The arcane layer, kept on purpose. Checked September 8, 2026.
What it is worth
Well-woman visits, family planning, screening and some chronic-condition care for women 15–44 up to $5,616 a month for four. Not hospital or cancer coverage for the mother.
- $5,616/month — Family of four monthly income limit (204.2% FPL)
Covers: Well-woman exam · Contraception · Screening · Some diabetes, hypertension and depression care
What it costs the family: None.
The eligibility facts, as published
- Women age
- 15–44
- Income percent fpl max
- 204.2
- Not pregnant
- yes
- Other coverage
- no comprehensive coverage
The trap: Not comprehensive insurance. A mother who loses employer coverage should also check the Marketplace and COBRA.
Where I read this
- Healthy Texas Women: who can apply; TWH W-110 — Texas Health and Human Services, read September 7, 2026
- C-130 Medical Programs — Texas Health and Human Services, read August 27, 2026