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application gold

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Harris Health Financial Assistance Program/Gold Card


Gold Card English Main Ap plication, application gold. 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, application gold, 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. Only individuals currently residing in Harris County are eligible for a Gold Card, application gold.

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. Either 1 application gold 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. 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 application gold the person financially supporting them.

Patient does not have to be a U, application gold. 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, application gold. Q: Are undocumented individuals eligible for a Gold Application gold if they meet all other requirements? A: Yes. View Eligibility Center Locations in a larger map, application gold.

People who are homeless, living with a friend or family, or undocumented immigrants will all count as eligible, application gold. 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 application gold the Harris Health System discount status for your patient.

Use this brief checklist to help patients remember which of the following forms they will need, application gold. Address 1 proof of residency is required. Client must fill out, not the PDP, application gold. Employer must application gold out. The person financially supporting the client must fill out. 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, application gold. Other Healthcare Coverage Possible proof: award or claim letters; insurance policies; court document; other legal papers. Medicare Asset Application gold. 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 application gold 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, application gold. Pasadena, TX Plan 2 Co-pay.

 

 

application gold

 

Fill out the form called “Application for Financial Assistance.” Be sure you, your husband or wife, and ALL children who live with you, between 18 and 26 years old, sign and date the form. Harris Health System staff can sign you up for patient assistance programs available with drug manufactures via the Medication Assistance Program (MAP). Our General Manager Training Program is immersive, hands-on and prepares you to manage your very own Gold’s Gym. From financial analysis to leading a team, we’ll equip you with the knowledge and skills you need to succeed in your new and exciting career in fitness. Your training will include real-time assignments and a designated coach and. The HSBC Gold Mastercard credit card delivers the extra spending power you need for your purchases. Get the information you need and find out how you can apply inside. The HSBC Gold Mastercard credit card delivers the extra spending power you need for your purchases. Get the information you need and find out how you can apply inside.