How to Obtain a Gold Card for Medical Reasons in Houston, Texas
Dec 26, · The only ways to apply for Gold Card are visiting a Harris Health eligibility center or completing the Gold Card application and then mailing it back to them. Completing the application online would be far easier for most, but at this point that’s not an option. Apr 07, · Take or mail your application and supporting documents to: HCHD Financial Assistance Program. PO Box Houston, TX Once your application is reviewed an appointment is scheduled for you to meet with a HCHD employee to discuss your application. You are notified by mail if and when you are approved for a Gold Card. Source.
Residents living in Harris County are eligible. People who are homeless, living with friends or family, or are considered to be undocumented immigrants are also eligible. There are three levels for the income requirements to be apply to receive a Gold Card.
All 3 levels are eligible to receive a Gold Card. The application form is 2 pages, front and back, that should ij either mailed or dropped off to any of the 5 eligibility centers in the greater Houston area.
Applicants should receive confirmation of their application within 10 days, and notification of acceptance or rejection within 14 days. Public health services connected to the Harris Health System are available to you through a Gold Card. Primary care, dental, what is a shot of espresso, specialty clinics, same-day clinics, psychiatry, counseling, and trauma care in Harris County hospitals are included.
Although a Family Houston Case Manager can provide you with assistance for completing the Gold Card application, gol process of receiving and utilizing t Gold Card is through the Harris Health System. Download the application. Harris County Gold Card. Harris County allows lower-income residents to receive financial assistance to public health benefits with access to a Gold Card. Family Houston can assist with filling out an application, but we do not have any say over eligibility.
What is a Gold Card? What makes me eligible for a Gold Card? Are there any income requirements? How long is the application process? What documentation will I need to provide? Citizenship and Immigration Services golf the immigration status of you, your spouse, and all children under the age of 18 that depend on you for support Proof of Medicaid, CHIP, CHIP Perinatal, Medicare, or health insurance for you, your spouse, and all children who depend on you for support If you have Medicare, you must fill out a Medicare Asset Form and show proof of app,y current resources and liabilities.
What services do I have czrd to with a Gold Card? Pasadena, TX
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Oct 25, · Mail the completed application and eligibility documents to: HCHD Financial Assistance Program c/o Patient Eligibility Services Administration P.O. Box Houston, TX Tips If unable to print and complete the online application, call the Harris County Hospital District at to request help in applying for a Gold Card. Oct 19, · Take or mail your application and supporting documents to: HCHD Financial Assistance Program, P.O. Box , Houston, TX Once your application is reviewed, an appointment is scheduled for you to meet with a HCHD employee to discuss your application. You are notified by mail if and when you are approved for Harris Health. Apr 21, · This video will walk you step by step through the process of applying for Harris Health System health coverage, formerly Gold Card. For the link to find shel.
Gold Card English Main Application. Gold Card Spanish Main Application. Gold Card Vietnamese Main Application. This page has information on the Harris Health Financial Assistance Program formerly known as and commonly referred to as the Gold Card. Its eligibility requirements are less stringent than Medicaid and the application process is much easier. Although patients with Gold Cards receive fewer benefits than those with traditional health insurance plans, the Gold Card is still a lifeline, making medications and clinic visits more affordable.
The degree of benefits received for Gold Card is governed by a 5-tiered system, based on income level. Only HCHD services qualify for these benefits.
As of August 15, , all Gold Card paitents are asked to make a minimum payment at the time of hospital or clinic visit, except for pediatric and prenatal care visits.
Payment occurs at the time a service is received, and remaining balances are billed to the patient. Only individuals currently residing in Harris County are eligible for a Gold Card.
Residence eligibility can be assessed with the following County Checker works best with a zip code. The Gold Card application form is two pages front and back. Please fill out the form with your patient. Applicants are highly encouraged to mail their forms to the eligibility office, as the entire process will be expedited, but 5 eligibility centers exist where patients can drop off forms. Patients should receive confirmation of receipt from the office within 10 days and acceptance or rejection of their application within 14 days.
Helpful Documentation Checklist: English. Either 1 picture ID or 2 non-picture IDs. If it does not have a picture, two different copies are required.
This can be an official document or it can be a domicile verification form English, Spanish, and Vietnamese versions filled out and signed by someone they are unrelated to and are not living with eg. To verify household income, 1 of the following documents must be submitted for each household member 18 or older.
If the client does not have a wage stub or tax return, there are forms that can be filled out by their employer which can be themselves or the person financially supporting them. Patient does not have to be a U. However, if patient is not a citizen and has documentation from the INS, it must be presented to determine eligibility for assistance.
Possible proof: award or claim letters; insurance policies; court document; other legal papers. Q: Are undocumented individuals eligible for a Gold Card if they meet all other requirements? A: Yes. Gold Card Eligibility Center Hotline: View Eligibility Center Locations in a larger map. People who are homeless, living with a friend or family, or undocumented immigrants will all count as eligible.
Many who are foreign citizens on Visa to the U. Federal Poverty Level. A reference for any other questions about eligibility. Use the tool below to estimate the Harris Health System discount status for your patient. Gold Cards must be renewed every 6 months. Use this brief checklist to help patients remember which of the following forms they will need.
Address 1 proof of residency is required. Accepted proofs dated within the past 60 days : Utility bill, credit card statement, mortgage statement; rental verification form, commercial mail addressed to you or your spouse, printout from Texas Workforce Commission. Domicile Verification Form English , Spanish , Vietnamese completed by a reliable person not living with the client. Household Income: Past 30 Days To verify household income, 1 of the following documents must be submitted for each household member 18 or older.
Client must fill out, not the PDP. Employer must fill out. The person financially supporting the client must fill out. Form: English , Spanish Household Composition. Possible proof: birth certificate; baptismal record; most recent IRS form; Social Security Award letter for dependents; school documents; insurance documents; U. Immigration Status Patient does not have to be a U. Other Healthcare Coverage Possible proof: award or claim letters; insurance policies; court document; other legal papers.
Medicare Asset Determination. Medicare patients will receive specific Gold Card discounts on benefits that are not already covered by their Medicare. It is important to remind all patients that they are not eligible for discounted healthcare until they receive their Gold Card. If your patient is scheduled to have a non-urgent follow-up clinic visit, it may be prudent to delay the clinic visit until after you believe the patient will receive their Gold Card. Q: Can Medicare patients potentially qualify for a Gold Card?
A: Yes, but patients must fill out an extra form to determine their Medicare Assets so they can receive a discount on services and fees not covered by Medicare. Patients will likely receive a lower tier plan and receive fewer benefits from the Gold Card. This is because Medicaid is already very comprehensive. Useful Links and Numbers. Zoom out to see eligibility centers. Click on the blue pins to see hours.
Houston, TX Lois J. Pasadena, TX Plan 1 Co-pay. Plan 2 Co-pay.