Harris county gold card form 2025

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The document provides detailed instructions on how to apply for the Harris Health Financial Assistance Program, including eligibility requirements, necessary documentation, and application procedures. It emphasizes that there is no cost to apply and outlines the information needed from applicants, such as income proof, identification, and health care coverage. Additionally, it clarifies that the program is not an insurance plan and includes a statement of rights and responsibilities for applicants.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (160 Votes)
2020	4.3 Satisfied (160 Votes)
2019	4.2 Satisfied (54 Votes)
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2016	4.4 Satisfied (568 Votes)
2012	4.4 Satisfied (276 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the cost to apply for the Harris Health Financial Assistance Program?

There is no cost to make a Harris Health Financial Assistance Application.

How do I submit my application for financial assistance?

You can mail your application to the Harris Health Financial Assistance Program at P.O. Box 300488, Houston, TX 77230 or drop it off at the nearest Eligibility Center.

What documents do I need to provide with my application?

You need to provide identification, proof of income, proof of residency, immigration status, and health care coverage for you and your dependents.

Can I get help with medications through Harris Health?

Yes, Harris Health has pharmacy staff who can assist you in signing up for patient assistance programs to obtain free medicines from drug companies.

What should I do if I'm asked to pay for the application?

If you are asked to pay for the application, please call 713-566-6277 for assistance.

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Is Harris Health a government job?

The Harris Health System, previously the Harris County Hospital District (HCHD), is a governmental entity with taxing authority that owns and operates three hospitals and numerous clinics throughout Harris County, Texas, United States, including the city of Houston.

Do you have to live in Harris County to get a gold card?

Anyone is eligible regardless of age, income, or immigration status. You must be a Harris County resident.

Who is eligible for the Harris County Guaranteed income Program?

Applicants household income must be below 200% of the federal poverty line (FPL) and reside in one of the identified high-poverty ZIP codes.

What is the phone number for Harris Health Gold Card eligibility?

For questions call 713-566-6509 (Monday Friday, 8am 4pm) to speak to the Eligibility Call Center team member for any questions regarding the Harris Health Financial Assistance Program.

How do you qualify for a gold card?

The minimum requirements for the Amex Gold Card include being at least 18 years old, having a good credit score of 700 or better, and earning enough income to afford monthly bill payments. You also need to have a Social Security number or International Tax Identification Number.

Harris county gold card form 2025

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Got questions?

What is the cost to apply for the Harris Health Financial Assistance Program?

How do I submit my application for financial assistance?

What documents do I need to provide with my application?

Can I get help with medications through Harris Health?

What should I do if I'm asked to pay for the application?

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People also ask

Is Harris Health a government job?

Do you have to live in Harris County to get a gold card?

Who is eligible for the Harris County Guaranteed income Program?

What is the phone number for Harris Health Gold Card eligibility?

How do you qualify for a gold card?

harris health gold card application online

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