I Have a What? A Guide for Coping with Moderate-to-Severe TBI

More documents

Recommendations

Info

RRTC ON COMMUNITY INTEGRATION OF PERSONS WITH TBI1. Identification: You must present a valid driver’s license or State of TexasI.D. card.Possible proof: Student ID with picture, employee job badge with picture, passportwith picture, U.S. Immigration documents with picture, credit card with picture,ID issued by foreign consulates, marriage license, birth certificates, Social Securitycard, U.S. naturalization, citizenship or other federal documents, hospital orbirth records, adoption papers or records, voter’s registration card, or wage stubs.2. County Residency: To show that you reside in Harris County, you must providetwo proofs: one dated within the past 60 days and the other dated up to one yearago.Possible proof: Utility bills; lease agreement; school records for minor children;mortgage coupon; rental verification form; Department of Motor Vehicles record;credit card statement; property tax statement; automobile insurance documents;automobile registration; printout from IRS of current tax year filing; certificationdocuments or benefits checks from the Social Security Administration or TexasWorkforce Commission; certification documents from Food Stamps, Medicaid orMedicare; letter from recognized social services agency; mail addressed to you oryour spouse; statement from child care provider; current voter’s registration card;Texas driver’s license; ID card issued by the Department of public safety; domicileverification form completed by a reliable third person, post office records; city orcriss-cross directory; telephone directory; or church records.3. Household income: Show proof of household income during the past 30 days.4. Family Dependents (if applicable): To establish that you are a parent orguardian, you must bring a birth certificate OR guardianship document for each dependentin your household.5. Insurance Coverage: Bring health insurance cards or plan information if youcurrently have healthcare insurance.6. I.N.S. Status: Non-U.S. citizens should provide Immigration and NaturalizationService documents. Certain types of visas are not eligible for Gold Card financial assistance.7. Resources: If you have Medicare coverage and want to apply for a discount on servicesand fees not covered by Medicare, you must provide proof of your resourcesand liabilities by filling out a HCHD Medicare Asset Determination form.Note: If you have received medical services from the Harris CountyHospital District and want financial assistance with your medicalbills, you must apply within 30 days of your discharge.Page 75
I Have a What?!:A Guide for Coping with Moderate-to-Severe TBIRegistering for a Gold Card is one of the best things you cando for yourself and your family.To register for a Gold Card, you can call the hotline number listed below.You can schedule an interview with a Gold Card representative. There areseveral eligibility centers located throughout Harris County. Schedule yourinterview at the location nearest you.Harris County Hospital District’sGold Card Hotline(713) 566-6691Once you receive your Gold Card, you will be assigned to the CommunityHealth Center closest to your home. This is where you and your family willreceive your primary health care.Harris County Hospital DistrictEligibility CentersSouthwest Eligibility Center6654 HornwoodHouston, TX 77074(713) 995-35008 a.m. – 4:30 p.m.South Loop Eligibility Center5959 Long DriveHouston, TX 77087(713) 643-36918 a.m. – 4:30 p.m.East Mount Houston EligibilityCenter11737B Eastex FreewayHouston, TX 77039(281) 372-31008 a.m. – 4:30 p.m.Strawberry Eligibility Center927 Shaw Rd.Pasadena, TX 77506(713) 740-81807:30 a.m. – 4:30 p.m.Check out their website at:http://www.hchdonline.comClick the link “Patient Information” and then click “Financial Assistance.”Page 76
Page 3:
Margaret A. Struchen, Monique R. Pa
Page 6 and 7:
y Jason FergusonO.K., tell me again
Page 8 and 9:
RRTC ON COMMUNITY INTEGRATION OF PE
Page 10:
Page 14 and 15:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Page 24 and 25:
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33: RRTC ON COMMUNITY INTEGRATION OF PE
Page 86: I HAVE A WHAT?!:A Guide for Coping
show all

I Have a What? A Guide for Coping with Moderate-to-Severe TBI

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?