Eligibility Approval Required Before Visits

A patient must secure approval of eligibility prior to all healthcare appointments. To be eligible, they must live in Bucks County, be uninsured, and their household income must be within 250% of the Federal Poverty Level. Patients are screened thoroughly for eligibility at least annually and must apply for government programs, such as Medicaid, Medicare and CHIP when requested.

English Patient Application

Spanish Patient Application

Staff member reviewing eligibility paperwork with a patient

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215-345-2260

Our Eligibility Requirements

You must include proof of:

Residency within Bucks County

Services include medical, dental, behavioral health and social services
Proof of residency- utility bill with name on it

Before-tax household income within 250% of the Federal Poverty Level

$39,900 for one person, $68,300 for a family of three, etc.
Proof of identity- photo ID, passport
Proof of income- pay stubs, bank statements or signed letters from employers

Additional Information

We Offer Assistance

We want to help eligible patients enroll in the free or low-cost medication programs offered by the pharmaceutical companies and medical assistance or CHIP if applicable.

Referrals are also made to other community organizations who can help, such as health insurance coverage, for legal services, domestic violence, drug and alcohol and mental health services.

Eligibility is reviewed every twelve months or when the patient’s circumstances change.

For Medical Services

Eligibility is reviewed every twelve months or when the patient’s circumstances change. Every effort is made to assist patients in finding the best and most affordable alternatives for their healthcare, including free or low-cost health insurance.

For Dental Services

Dental services are provided by appointment only and clinics are set up according to the availability of volunteer dentists and hygienists.

For Other Services

If we are unable to provide you with the services or care you need, here are a few organizations that may further assist you:

Our Partners