How To Qualify

How To Qualify

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We look forward to partnering with you for your healthcare needs.

We are here to serve those with limited income and no health insurance or other health benefits (including, but not limited to, Well Woman Medicaid, Medicare Part A and hospital only health coverage). The purpose is to make sure that the limited resources available are given to those with the most need.

IDENTIFICATION REQUIREMENTS 

  • Valid photo ID

  • Social Security Number​

INCOME REQUIREMENTS

Income Tax Information. - One of the following is required prior to your first visit and yearly thereafter:

 

  1. If you filed taxes last year, provide a complete, signed copy of your Federal Income Tax return, as well as a receipt indicating tax return was accepted. (If you are self-employed, include all schedules.) 

  2. If you did not file taxes last year, provide a Verification of Non-filing letter from the IRS, by calling them at 1-800-829-1040 and following the prompts OR by going to www.irs.gov and clicking on “Get a Transcript of Your Tax Records” under "Tools".

Please provide most current tax forms for each adult in household, unless officially paying rent. If so, please provide valid rental agreement.

        

Annual Income

Our annual income limit is based on the size of your family, which includes all those who live with you (husband, adult children, parents, other family members, boyfriend, etc).  This limit is based upon January 1, 2021 allowances:

Striving to bring
hope
       and encouragement

     to those in need....