These local and county-based medical assistance programs in Texas generally share the following characteristics:
Designed for residents who do not qualify for Medicaid or lack sufficient health coverage.
Income-based eligibility requirements.
Proof of residency within the specific county is typically required.
Coverage is usually limited to services provided within the county’s public hospital system or contracted network.
Benefits may include primary care, specialty care, hospital services, laboratory services, and certain prescription medications.
Approval periods are time-limited and require periodic renewal.
Programs are administered by the corresponding county hospital district or local governmental entity.
HOUSTON (HARRIS COUNTY)
Harris Health – Financial Assistance Program formerly known as the “Gold Card,” this is a local financial assistance program for eligible residents of Harris County, Texas. It provides access to medical care within the Harris Health System network for qualified patients.
The program is not health insurance; it is a county-based assistance program that helps low-income residents receive care through Harris Health facilities and providers.
"Application Here"
DALLAS (DALLAS COUNTY)
Parkland Financial Assistance (PFA), administered by Parkland Health in Dallas County, is a hospital-based financial assistance program designed for low-income county residents who are uninsured or underinsured. Eligibility is determined based on income and proof of Dallas County residency, and approved individuals receive access to medical services within the Parkland hospital system and affiliated clinics. The program is not health insurance and requires periodic renewal based on continued eligibility.
"Application Here"
AUSTIN (TRAVIS COUNTY)
Central Health – MAP / MAP BASIC Central Health’s Medical Access Program (MAP) and MAP Basic in Travis County are local healthcare assistance programs designed for low-income residents who do not qualify for Medicaid and lack adequate insurance coverage. Eligibility is based on income and county residency, and approved participants receive access to primary and specialty care services through Central Health’s contracted provider network. These programs are not health insurance and require periodic eligibility review and renewal.
"Application Here"
FORT WORTH (TARRANT COUNTY)
JPS Connection, administered by JPS Health Network for Tarrant County, is a county-supported medical assistance program designed to help eligible low-income residents who are uninsured (and in some cases underinsured) access healthcare at reduced cost through JPS facilities and affiliated clinics. Eligibility is generally based on Tarrant County residency and household income level, and approved participants may receive discounted services such as primary care, specialty care, and prescriptions, subject to program rules and periodic renewal; it is not health insurance:
"Application Here"
ARLINGTON (TARRANT COUNTY)
Arlington (Tarrant County) uses the same county-supported program, JPS Connection, administered by JPS Health Network, to help eligible low-income residents who are uninsured (and in some cases underinsured) access healthcare at reduced cost through JPS facilities and affiliated clinics. Eligibility is generally based on Tarrant County residency and household income, and approved participants may receive discounted services such as primary care, specialty care, and certain prescriptions, subject to program rules and periodic renewal; it is not health insurance.
"Application Here"
SAN ANTONIO (BEXAR COUNTY)
University Health’s CareLink in Bexar County (San Antonio) is a county-supported financial assistance program for residents who are uninsured and do not qualify for other coverage; it helps reduce the cost of care received through University Health (it is not health insurance). Eligibility is primarily based on Bexar County residency and household income (University Health states income generally must be at or below 250% of the Federal Poverty Guidelines), and membership requires periodic renewal under program rules.
"Application Here"
EL PASO (EL PASO COUNTY)
University Medical Center of El Paso – Healthcare Options / Indigent Health Care University Medical Center of El Paso’s HealthCare Options (Indigent Health Care) program in El Paso County is a county-supported medical assistance option intended primarily for eligible low-income county residents who are not receiving similar coverage through Medicaid, Medicare, CHIP, or other programs. Eligibility generally depends on income, household size, and El Paso County residency, and applicants must provide required documentation to determine qualification; approved participants receive access to covered basic medical services through the program/network under its rules and limitations, and it is not health insurance.
"Application Here"
CORPUS CHRISTI (NUECES COUNTY)
Nueces County Hospital District – Nueces Aid Nueces Aid, administered by the Nueces County Hospital District for Nueces County (Corpus Christi), is a county indigent healthcare assistance program that helps eligible low-income residents access medically necessary care when they do not qualify for other state or federal medical assistance. Eligibility generally depends on Nueces County residency, income (the program notes household income must be at or below 150% of the Federal Poverty Guidelines), and resource criteria; approved participants receive services through the program’s network (not private doctors) and the program is not health insurance.
PLANO (COLLIN COUNTY)
County’s Indigent Healthcare Program (serving Plano / Collin County) is a county-administered medical assistance program for qualified low-income adult residents who are uninsured and do not have equivalent public or private coverage. Eligibility is generally based on Collin County residency, household income/resources (Collin County materials indicate an income threshold up to 100% of the Federal Poverty Level for eligibility), and required documentation; once a complete application is received, the county indicates an eligibility decision is typically made within 14 business days.
LUBBOCK (LUBBOCK COUNTY)
The Lubbock County Medical Indigent Program, serving residents of Lubbock County, is a county-administered healthcare assistance program for eligible low-income adults who are uninsured and do not qualify for Medicaid or other comparable coverage. Applicants must meet residency, income, and resource requirements, and services are generally coordinated through University Medical Center and affiliated providers such as Texas Tech Physicians. Approved individuals receive limited medically necessary services under county guidelines; this program is not health insurance and requires compliance with eligibility rules and periodic review.
BROWNSVILLE (CAMERON COUNTY)
Cameron County’s Indigent Health Care program (serving Brownsville / Cameron County) is a county-administered medical assistance program intended for eligible low-income residents who are uninsured and do not qualify for other comparable public coverage. Eligibility is generally based on Cameron County residency, household income and resources, and required supporting documentation, and approved applicants may receive access to limited medically necessary services under county guidelines; it is not health insurance and may require periodic eligibility review and renewal.
MCALLEN (HIDALGO COUNTY)
Program Hidalgo County’s CIHCP & “Hidalgo Blue” Program (serving McAllen / Hidalgo County) is an official county medical assistance program designed for low-income Hidalgo County residents who do not qualify for other state or federal health care programs. Eligibility is determined primarily by income level, proof of Hidalgo County residency, household composition, and reported resources, and approved participants receive access to eligible health care services under the program’s rules and limitations; it is not health insurance.
Additional local, state, or federal assistance programs may also be available depending on the applicant’s circumstances. If you require guidance in identifying other potential options, please do not hesitate to contact our team for assistance in locating the appropriate official resources .
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