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  2. Patient Eligibility - Harris Health System

    www.harrishealth.org/access-care/patient-eligibility

    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?

  3. How to Get Your Harris Health Financial Assistance

    www.harrishealth.org/.../English/application-instructions-english.pdf

    To obtain Harris Health financial assistance you must complete Harris HealthsApplication 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.

  4. 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.

  5. Financial Assistance Program - Harris Health System

    www.harrishealth.org/access-care-hh/Pages/financial-assistance-program.aspx

    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.

  6. How To Apply For Harris Health (Gold Card) | 2022 - Houston Case...

    houstoncasemanagers.com/how-to-apply-for-harris-health-gold-card

    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.

  7. GOLD CARD APPLICATION & RENEWAL - SBFDC

    sbfdc.org/wp-content/uploads/2016/01/GOLD-CARD-APPLICATION-RENEWAL.pdf

    GOLD CARD APPLICATION & RENEWAL. You can mail out the documents to: Harris Health Financial Assistance Program, P.O. Box 300488, Houston, TX 77230. For renewal applicants (except for Medicare applicants) if your name, address, marital, or legal status, household member & health coverage have not changed since the last expiration, please ...

  8. WELCOME! Dear Harris Health Patient, As 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.

  9. Harris Health Extends Eligibility 90 Days for Patients Currently...

    www.harrishealth.org/about-us-hh/news/Pages/harris-health-extends-eligibility...

    These patients are asked to mail a completed application for financial assistance two weeks before their temporary expiration date ends. Application packets and mailing address information can be found on the harrishealth.org website.

  10. How To Get Your Harris Health Plan - Rice University

    pdi.rice.edu/files/2013/03/Gold-Card-English-24ochif.pdf

    There is no cost to make a Harris Health Financial Assistance Application. If you are asked to pay, please call 713-566-6277. Fill out the form called “Application for Financial Assistance.”

  11. Gold Card Requirements: Who Qualifies For Harris Health...

    houstoncasemanagers.com/gold-card-requirements

    How Do I Apply For The Gold Card? To apply for the Harris Health Gold Card you will need to complete a Gold Card application, provide the supporting documents. You can then apply for coverage by: Mailing your application.