Am I Eligible

To be eligible you must reside in the following areas:

 

Chester County:                                        Montgomery County:


Charlestown Twp                                        Collegeville Borough
Phoenixville Borough                                   Royersford Borough
East Coventry Twp                                      Limerick Twp
Schuylkill Twp                                              Trappe Borough
East Nantmeal Twp                                     Lower Pottsgrove Twp
Spring City Borough                                     Upper Providence Twp
East Pikeland Twp                                       Lower Providence Twp
South Coventry Twp
East Vincent Twp
West Pikeland Twp
North Coventry Twp
West Vincent Twp

 

Proof of residency is required.  Proof can include:

  • Identification with current address (ie, drivers license, state ID card)
  • Copy of lease agreement

 

Also, you must demonstrate financial need and meet program financial guidelines and must not have insurance or inadequate insurance for dental, vision and emergency orthopaedic care or prescriptions.

 

Programs open to all ages.



Application

Health Care Access Program Application
HEALTH CARE ACCESS PROGRAM APPLICATION.d[...]
Microsoft Word document [37.0 KB]
Health Care Access Application - En Espanol
HEALTH CARE ACCESS APPLICATION - EN ESPA[...]
Microsoft Word document [67.0 KB]
Health Care Access Program Application -- Adobe Acrobat Version
HEALTH+CARE+ACCESS+PROGRAM+APPLICATION.p[...]
Adobe Acrobat document [54.2 KB]
Health Care Access Program Application En Espanol - Adobe Acrobat Version
HEALTH+CARE+ACCESS+APPLICATION+-+EN+ESPA[...]
Adobe Acrobat document [69.5 KB]