Patient Access

patient access application form st hilarys

by Jasen Bauch Published 2 years ago Updated 1 year ago
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What programs do you need to fill out in Texas?

You must fill out papers for programs such as but not limited to CHIP, CHIP Perinatal, Medicaid, TANF (Temporary Assistance for Needy Families), SSI (Supplemental Security Income), Title V or Healthy Texas Women Program (HTWP) if you can have these programs.

Can you get free medicine from Harris Health?

Harris Health's pharmacy staff can sign you up for patient assistance programs to get free medicines from drug companies. You will be asked to sign the Medication Assistance Program (MAP) Consent and Authorization Form (Form #283233) that tells Harris Health to share your personal health information and sign any forms that are needed for you to get free medicine.

Do you have to fill out a Medicare asset form?

If you have Medicare, you must fill out a Medicare Asset Form and show proof of your current resources and liabilities.

Does Harris Health require a copay?

All Harris Health patients are asked to make a minimum payment at the time of their hospital or clinic visit, except for pediatric and prenatal care visits. Service fees do not apply to patients in the Healthcare for the Homeless Program or other insurance plans. Insurance plan copays will be collected according to plan requirements.

Apply for patient financial assistance

Need help paying for treatments? We offer a fast, reliable way to get patient financial assistance. Apply for yourself or your patients today.

More information about applying for patient financial assistance

To qualify for a financial assistance program, you (or the patient you’re applying for) must:

What happens if you receive further information requested from the triage team?

On receipt of further information requested the triage team will then review this request again and make a decision if possible.

What is an IFR request?

An Individual Funding Request (IFR) is a request to fund healthcare for an individual who falls outside the range of services and treatments that NHS St Helens Clinical Commissioning Group (CCG) has agreed to commission.

Does the NHS have limited resources?

Like any other organisation, the NHS has limited resources and we have a duty to manage them to a robust process.

Benefits

Our employees enjoy competitive wages along with a generous benefits package. Full and part-time employees are offered medical, dental, prescription drug, and vision insurance. Supplemental insurance is also available to employees and may be paid for through an automatic payroll deduction.

An EEO Employer

Southwest Health System supports the hiring and advancement of everyone, regardless of race, color, religion, sexual orientation, age, gender, national origin, marital status or disability.

Culture

We strive to create an environment where patients, physicians, team members, and community all feel welcome. Providing high quality, individualized, accessible healthcare is our number one priority. Respect for individuals and their cultures is stressed throughout our organization, both toward the people we serve and those we work with.

About the Area

Cortez, Colorado is located in the Four Corners area and offers a small town atmosphere. Montezuma County is surrounded by three mountain ranges, including Mesa Verde National Park and red rock canyons. Southwest Colorado offers a variety of outdoor activities including fishing, hiking, downhill and cross country skiing, biking, and golf.

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