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  1. The “Gold Card” program is now called the Harris Health Financial Assistance Program. You are no longer issued a card, please hold on to your notices you receive regarding your eligibility. How can I apply for the Harris Health Financial Assistance Program?

  2. 15 Φεβ 2023 · Here is a quick summary of how to apply for the Harris Health Gold card. Check to see if you qualify for a Gold Card discount plan. Download the Gold Card application. Gather the supporting documents needed. Find a Harris Health eligibility center. Wait for your Gold Card to be processed.

  3. New Application. You must provide information about yourself, your household income, your Harris Health System Medical Record Number, and any changes you have had since your last Harris Health System enrollment. Apply Here. Send Documents.

  4. To qualify for financial assistance at the Harris Health, you must be a resident of Harris County. The following co-payments will be requested at the time you receive services and are for Harris Health System services only.

  5. To obtain Harris Health financial assistance you must complete Harris Health’s “Application for Financial Assistance.” Be sure you, your spouse, and ALL children between 18 and 26 years old who live with you sign and date the form.

  6. 19 Οκτ 2018 · Low-income Harris County, Texas residents who find themselves in need of medical care can apply for Harris Health, formally known as the Gold Card. Applicants must fill out a form and provide supporting documentation to see if they qualify.

  7. WELCOME! Dear Harris Health Patient, As a financial assistance program member [FAP], 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!

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