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Skip Navigation LinksHarris Health Access Care Eligibility Calculator - Financial Assistance Program

Eligibility Calculator - Financial Assistance Program

Thank you for considering Harris Health System for your medical care.

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. In the event you are unable to pay the requested co-payment, services will be provided. If you have insurance coverage, please bring your ID card to your visit with you.

Service Area Co-payment
​Clinic visit to see the doctor ​$3
​Clinic visit for lab or X-ray done on a day you do not see the doctor ​$3
​Prescription - if you have Medicare, your payment may be more or less ​​1-30 days = $8
31-60 days = $16
61-90 days = $24
$10 for medicines on the 90-day list
​Dental visit ​$8
​Dentures ​Payment scale at Dental Clinic
​Emergency room visit ​$25
​Day surgery ​$25
​Inpatient stay ​$50

Special Notes:
Service fees do not apply to patients in the Healthcare for the Homeless Program.

Harris Health System is contracted with several major insurance plans as well as participates in the Medicare program and accepts traditional Medicare. Please visit the Social Security Administration website to get more information about how to apply for Medicare or visit your nearest Social Security Administration office. After you become a Medicare beneficiary, Harris Health System can continue to provide your medical care services.
The amount you pay for your prescriptions will be charged per the traditional Medicare Part-D plan. If you do not have Medicare Part-D, you will have to pay full price for all prescriptions.

Harris Health System also accepts these managed Medicare plans: (plans are subject to change without notice).
AARP (by United Healthcare), Amerigroup (classic only), Molina, Secure Horizon (by United Healthcare), Superior, United Healthcare, BCBS of TX