Enrollment Assistance

Community Outreach:

Gulf Coast Health Center is active in the community in providing education, program enrollment assistance, point-of-care service, and in obtaining grants and conducting research to better serve our patient population.

Outreach Program:

Gulf Coast Health Center has an intensive Outreach Program that helps families obtain health insurance for their children. The program provides families with education and assistance with the application process. GCHC works closely with the local Department of (U.S. Department of Health & Human Services) Human Services to facilitate easy access to Texas Medicaid, Chips, or Healthy Families Insurance. The goal of the program is to decrease the rate of uninsured children in Southeast Texas.

Program Enrollment Assistance:

County Indigent programs: (only assist with filling out application)

Medicaid: Our staff assists individuals in enrolling for Texas Medicaid assistance

  • Proof of income from your job – Last 3 pay stubs or paychecks, a statement from your employer, or self-employment records.
  • Bank accounts (we don’t need this if you are applying only for Medicaid for Pregnant Women) – The most current statement for all accounts.
  • Citizenship – U.S. passport, Certificate of Naturalization, U.S. birth certificate (copies of the front and back), hospital record of birth, or Medicare card. If you were born in Texas, we might be able to look up your birth record.
  • Medical costs – Bills or statements from health care providers (doctors, hospitals, drug stores, etc.) from the past 3 months. We only need these items if you haven’t already paid for these services.
  • Dependent care expenses – Receipts, canceled checks, or a signed statement from the person you pay. A signed statement must show when and how much you pay.

Healthy Families/Healthy Kids (CHIP): Our staff helps find health insurance assistance for children of low-income parents who may not qualify for no-cost Medicaid.

CHIP/CHIP PERINATAL: CHIP offers health-care benefits for unborn children of a pregnant woman. This is for pregnant women who can’t get Medicaid or other CHIP benefits because: (a) of their immigration status, or (b) they make too much money. There are no fees or co-payments for these benefits.

  • Proof of income from your job – One pay stub or paycheck from the last 60 days, a statement from your employer, or self-employment records.
  • Citizenship – U.S. passport, Certificate of Naturalization, U.S. birth certificate (copies of the front and back), hospital record of birth, or Medicare card. If you were born in Texas, we might be able to look up your birth record.
  • Dependent care expenses – Receipts, canceled checks, or a signed statement from the person you pay. A signed statement must show when and how much you pay.
  • Medical costs – Bills or statements from health care providers (doctors, hospitals, drug stores, etc.) from the past 3 months. We only need these items if you haven’t already paid for these services.

SNAP-Food Benefits: Helps buy food for good health. Some people might get help the next work day.

  • Proof of income from your job – Last 3 pay stubs or paychecks, a statement from your employer, or self-employment records.
  • Bank accounts – The most current statement for all accounts.
  • Medical costs – Bills, receipts, or statements from health care providers (doctors, hospitals, drug stores, etc.). These items should show costs you have now and costs you expect in the future.
  • Rent or mortgage costs – Recent checks, check stubs, or statement from the mortgage bank or landlord. Renters also need to give the landlord’s name, address, and phone number.
  • Dependent care expenses – Receipts, canceled checks, or a signed statement from the person you pay. A signed statement must show when and how much you pay.

TANF-Temporary Assistance Needy Families: Helps pay for things like food, clothing, and housing.

  • Proof of income from your job – Last 3 pay stubs or paychecks, a statement from your employer, or self-employment records.
  • Proof a child is related to you – Legal birth, hospital, or baptismal certificate.
  • Proof a child lives with you – A signed statement from your landlord or a non-relative neighbor that includes his or her name, address, and phone number.
  • Citizenship – U.S. passport, Certificate of Naturalization, U.S. birth certificate (copies of the front and back), hospital record of birth, or Medicare card. If you were born in Texas, we might be able to look up your birth record.
  • Bank accounts – Most current statement for all accounts.
  • Health insurance – Copy of the front and back of the insurance card or policy.
  • Child’s vaccines – Vaccine records for each child.

Medicare: Our staff assists patients in determining eligiblity for Medicare or SSDI.

Medication Assistance Program (MAP): We assist qualified individuals in obtaining affordable prescription medications. Photo ID for all LYRICA prescriptions

  • Current proof of income for HOUSEHOLD (ALL of the following)
  • 2012 Tax Return (include copies of w2)
  • 2012 Social Security Award letter (MUST include initial date of entitlement and current monthly benefit amount)
  • 2012 SSI Disability award letter (MUST include initial date of entitlement and current monthly benefit amount)
  • 2011 W2’s (for all household)
  • 2012 Pension Statement
  • 2012 Retirement statement (MUST include initial date of entitlement, type of benefits and current monthly benefit amount)
  • 2012 Un-employment benefits Form 1099-G & current statement
  • Child Support
  • Medicare Card Copy
  • Medicare Part D Denial letter

Identity (proof of who you are) – Current driver’s license or Department of Public Safety ID card. If a person has the right to act for you (as your authorized representative), that person also needs to give proof of identity.

Immigration status – Resident card (I-551), arrival/departure form (I-94). Or papers from the U.S. Citizenship and Immigration Services. We need copies of the front and back of these forms.

Legal representative (a person who has the right to act for you on legal issues) – Power of attorney papers, guardianship order, court order, or similar court documents.

Social Security, Supplemental Security Income (SSI), or pension benefits – Award letter or pay stubs.

Military service – Current Military ID (Form DD-2), military orders, or separation papers (Form DD-214).

Child support anyone pays – Court papers that show what you must pay for child support. For example: divorce decree, court order, or district clerk record.

Child support anyone gets – District clerk record. Or letter from the parent who pays showing how much, how often and the date it is usually paid. The letter must have the name, address, phone number, and signature of the parent who pays.

Veterans benefits, workers’ compensation, or unemployment– Award letter or pay stubs.

Loans and gifts (includes someone paying bills for you) – Loan agreements or statement from the person giving you money or paying your bills. Must show that person’s name, address, phone number, and signature.

Documents that you need to bring when applying for Health Insurance:

  • Proof of Identity (I.D., birth certificate, Hospital temporary Birth certificate)
  • Recent check stubs (last month) from everyone working at home over 19 years or taxes from last year (1040 Forms)
  • Social Security Numbers (if applying for Medicaid/Chips)
  • Birth Certificates for Children born in the United States or other countries.
  • Permanent Resident Cards “Green Cards” for Children born in another country. (Medicaid/Chips)

If you would like assistance with any of the programs, please contact our Patient Eligibility Specialists by calling 877-983-1161 or complete our eligibility questionnaire.

Click this link to find out more about Medicare Marketplace FAQs.