WebAs a financial assistance program member [FAP] previously known as the “gold card”, there are various eligibility levels under this program: 1. Plan 1 Eligibility. 2. Self-Pay Eligibility If you have been enrolled into Community Health Choice sponsored by Harris Health System your monthly premium is paid in FULL by Harris Health System! WebGOLD CARD APPLICATION & RENEWAL You can mail out the documents to: Harris Health Financial Assistance Program, P.O. Box 300488, Houston, TX 77230. For …
Patient Eligibility - Harris Health System
WebNov 2, 2024 · Hay dos formas de solicitar la Tarjeta Dorada durante la pandemia de Coronavirus y son: Visite un Centro de elegibilidad de Harris Health para recoger una solicitud. Puede recibir una solicitud por correo comunicándose con la Línea de información de elegibilidad al 713.566.6509. WebThe consent submitted will only can used for data editing originating from this website. Wenn you would like to change your settings or withdraw consent at whatever time, the link in do thus is in our privacy general accesible from to home page.. Gold Card Application - Fill Online, Printable, Fillable, Blank pdfFiller mot and tax gov uk
Harris Health Form - Fill Out and Sign Printable PDF Template
WebFeb 15, 2024 · Harris Health Gold Card provides medical care for low income or uninsured familial in Harris County. ... How Go Apply For An Medical Gold Card. In more cases, the Harris County Hospital District will process an contingency Amber Card if medical ... Since Texas is looking to shut downwards another phone Harris Health in 713.566.6509 … WebGold Card Texas I.D. or drivers license stating the person lives in Harris County. Social Security Card. Citizenship(Passport or Birth Certificate) or Green Card. Proof of income (1 months check stubs) Any bills or bank statement (within 60 days) Income tax (if necessary) Medicaid or CHIP card (if necessary) WebYou may need to show proof of income and other eligibility verifications during the application process. Contact Us Phone 512-438-2350 Fax Number 512-776-7417 Email Address [email protected] Mailing … mot and the law