HEALTH CARE OPTIONS (Indigent Health Care) Application Requirements
As a part of our continuing commitment to our community, University Medical Center of El Paso may provide financial assistance to individuals in need. The type of financial assistance will depend on your income, the number of persons in your household and where you live.
Effective August 1, 2007, the Healthcare Options (Indigent Health Care) Program will require the following information, in order to determine if you may qualify.
PROOF OF INCOME
IRS Form W2, wage and earning statement; pay check remittance; individual tax return; Unemployment insurance; employer statement of applicant’s income on official company letter head; bank statement or other appropriate indicators of yearly, monthly, weekly or hourly income.
PROOF OF RESIDENCY – 2 TYPES REQUIRED
Mail addressed to patient or patient’s spouse or children; driver license; other official identification; school enrollment records; property tax receipts; rent receipts; mortgage payment receipts and utility receipts.
NUMBER OF FAMILY MEMBERS
Names of immediate family members living in the household.
After turning in the required documentation, we will assist you with completing your application and determining your entitlement for the Healthcare Options (Indigent Health Care) Program.
