Harris Health Financial Assistance Program


Description

The Harris Health Financial Assistance Program provides reduced cost care to Harris County residents who qualify. Qualifying for Harris Health System reduced cost care is not equivalent to having health insurance, it simply means that you are eligible to receive care through the Harris Health System, and that you will pay a reduced fee for the health care services if you qualify.

Eligibility

Based on a patient’s household income, he/she may qualify for partial financial assistance, on a sliding scale (including: full pay, half pay or a nominal co-pay).

Application process

The Harris Health website has the most up to date information with the application in English, Spanish, and Vietnamese on this website. You can also call 713-566-6509. Patients must fill out the application and photocopy required documents – then mail in or drop off the application.

Applications must contain the following: 

  • Proof of identification
  • Where you live/ plan on living
  • Household income from the previous 30 days
  • Household composition
  • Immigration status (you do not have to be a U.S. citizen to qualify for these services, but patients ona visa are not eligible)
  • Information on other healthcare coverage (including Medicare)

General eligibility guidelines for discounted care

  • Assistance Plan 1: Gross monthly income less than 100 percent of the federal poverty level or up to $2,050 for a household of four. Co-payments of $3 for physician or clinic visit, $8 for prescriptions, $8 per dental service, $25 for emergency center visits, $25 for day surgery and $50 for inpatient stay.
  • Assistance Plan 2: Gross monthly income less than 150 percent of the federal poverty level or $2,050 to $3,075 for a household of four. Co-pays of $10 for physician or clinic visit, $8 for prescriptions, $20 per dental service, $50 for emergency center visits, $75 for day surgery and $150 for inpatient stay.
  • Assistance Plan 3: Gross monthly income less than 300 percent of the federal poverty level or $3,925.01 to $5,888 for a household of four. Patients pay amount equal to current Medicare-allowable reimbursement not to exceed 50 percent of total charges. Patients pay deposits up front instead of copays: $38 for physician or clinic visit, $38 per dental service, $100 for emergency center visits, $1,000 for day surgery and $1,000 for inpatient stay. Patients also pay half the cost of prescriptions.
  • Assistance Plan 4: Self-pay patients who don't qualify for "charity care." Patients pay an amount equal to 120 percent of current Medicare-allowable reimbursement not to exceed 80 percent of total charges. Patients pay deposits up front instead of co-pays: $95 for physician or clinic visit; $95 for dental visits, $150 for emergency center visits, $2,500 for day surgery and $2,500 for inpatient services. Patients also pay the full cost of prescriptions.

You can use the Harris Health Eligibility Calculator to see what is available for your patients

*Patients may incur additional doctor bills from UT Health or Baylor College of Medicine.