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Eligibility

Florida Department of Health in Indian RIver County

  •  (772) 794-7400
  •  

    Mailing Address

    1900 27th Street 

    Vero Beach, FL 32960 

    ________________ 

    TTY users can contact us through Florida Relay by dialing 711 or one of the other Relay Toll Free numbers. 

Eligibility for Reduced Medical Fees 

What is Eligibility?
The Florida Department of Health in Indian River County (DOH-Indian River) strives to help fill the need for affordable, quality health care to residents in Indian River County by providing medical services to the uninsured and underinsured. DOH-Indian River only sees Indian River County residents for primary care services, as well as dental, unless the client is assigned through Medicaid to our health department. As required by law, no client will be refused services for communicable diseases (STDs, TB, HIV, etc.) family planning services and childhood immunizations.

Fees we charge and collect are used to continue to provide care to you and your family.  Some of the medical services are at no cost, and many medical services (not including dental) that have a fee are eligible for reduced rates on a set sliding fee scale, which is a system of charging fees for services based on your ability to pay. Our staff determine whether a patient is eligible or qualifies for reduced rates on a sliding fee scale. Eligibility expires every 6 months from the date it was determined and needs to be re-determined before the expiration date. To qualify for the sliding fee scale, we require proof of:

If you choose to have your eligibility determined, our staff will assist you with the eligibility determination process, including what information we need from you. If you choose not to have your eligibility determined (waived eligibility), you will be responsible for paying the full fee for any medical service you receive that has a fee associated, including fees not covered by insurance.

Eligibility for NEW Patients
Bring your photo ID, two proofs of residency and proof of income to your first appointment. This will determine your placement on the sliding fee scale, if eligible. If your income or residence changes, please notify staff on your next visit to update your information and re-determine your eligibility.

Eligibility for EXISTING Patients
If you are already receiving reduced medical fees on a sliding fee scale, you will need to have your eligibility re-determined before the end of the 6 months to determine if you are still eligible. If you don't meet the eligibility requirements, or if you don't provide the necessary information before your re-determination date expires, your eligibility will end and you will then be responsible for paying 100% of any medical fees charged, including any amount insurance does not cover. While eligibility is re-determined every 6 months, you should contact us anytime your information changes.

Eligibility for Dental Services
Our dental services are limited to Indian River County residents. Proof of photo ID and residency requirements as noted below.  Some Medicaid is accepted.

What if I Don't Want to Go Through the Eligibility Process for Reduced Medical Fees?
You can choose not to have your eligibility determined, in which case your eligibility will be waived and you will be responsible for paying the full fee for any medical services you receive that has a fee associated, including any fees not covered by insurance.

Some Fees For Medical Services May Depend on Specific Individual Situations or Are Not Offered on the Sliding Fee Scale. These Services Include:

  • Family planning/birth control/contraceptives (fee varies)
  • Childhood immunizations for ages 2 months through age 18 (free if eligible through the CDC's Vaccines for Children program)
  • Travel immunizations (full fee for service expected at time of service)
  • Adult immunizations, if you are only here for this service (full fee for service)
  • School/work physicals (fee varies)
  • Sexually transmitted disease (STD) testing, treatment and counseling (fee varies)
  • Tuberculosis (TB)/communicable disease control (fee varies)



Acceptable Proof of Photo Identification (1 photo ID from the list below is required):

  • Any official local, state or federal government or military issued ID with photo. For example:
  • Driver's license
  • Government ID
  • Valid passport (US or non-US)
  • Valid work ID
  • Valid school ID



Acceptable Proof of Indian River County Residency (2 current items from the list below with your name and address listed is required)
 

  • Any official valid local, state or federal government or military issued document
  • A bill within the last 60 days with your name and address listed from any of the following sources:
  • electric bill
  • water bill
  • gas bill
  • cable or satellite bill
  • medical bill (not from the health department)
  • pest control bill
  • home phone bill
  • cellular phone bill
  • Credit card statement within the last 60 days
  • Insurance statement within the last 60 days
  • Recent pay stub within the last 60 days
  • Housing/mortgage agreement
  • Rental agreement/lease (with landlord's name/address/phone # listed)
  • Previous month's rental receipt (with landlord's name/address/phone # listed)
  • Prior year property tax receipt or current year's property tax bill
  • W-2 form for previous year
  • Unemployment document within last 60 days
  • Vehicle registration for current year
  • County school record/registration certificate showing current enrollment in school
  • For incarcerated individuals, residency will be established by residency immediately prior to incarceration
  • Homeless individuals must bring in one of the following:
  • homeless declaration signed by homeless agency personnel
  • law enforcement booking sheet
  • declaration letter from family or friend
  • letter of support (contact staff for further information)



Acceptable Proof of Household Income (any statements you bring in from the below list must be from the 2 months before the date your eligibility is determined or re-determined):
Note: Household income is the gross income (income before taxes and fees are taken out) for anyone living in the household (household members) where there is a legal relationship (related by blood, marriage, law, conception, or a foster child). Those NOT considered household members are:

  • Another family, other than yours, that lives in the same has you live in
  • Any single adult over 18 living with relatives is considered to be a separate family, unless the adult is a member of a separate economic unit
  • Wages and Salary:
  • Pay stubs
  • Letter from employer(s) on company letterhead signed and dated by your employer (with their name/address/phone #) showing gross earnings
  • 1040 ES quarterly tax form (dated within 90 days from eligibility determination)
  • 1040 form or W-2 form for the past year
  • Gross income from self-employment
  • Most recent income tax return
  • Unearned Monthly Income:
  • Social security and disability benefits
  • Public assistance or welfare payments
  • Unemployment compensation
  • Spousal support (alimony) received
  • Worker's compensation for lost income
  • Court ordered child support received or paid
  • Other Unearned Income (figured monthly):
  • Veterans and military allotments
  • Retirement and pension benefits
  • Insurance, annuity, estate or trust income
  • Private loans that recur
  • Dividends or interest on savings, stocks/bonds
  • New rental income and royalties
  • Contributions
  • Savings, investments, trust accounts and other resources readily available to the household
  • Letter of Financial Support (contact Eligibility Office for further information)
  • Expenses (figured monthly):
  • court ordered child support
  • child or day care expenses


Public Information Websites to Assist You with Eligibility Requirements:
Below are public websites you can access to help you find information to be used to help determine your eligibility. If you find any information that can be used based on the requirements listed above, please bring a copy of the information with you:

How Do I Apply for Medicaid or Other Public Assistance?
You can apply for Medicaid on the Department of Children and Families Access Florida website. Information on other public assistance programs available is also listed on this site, and information about public assistance can also be obtained by calling the Palm Beach/Treasure Coast 2-1-1 Information Line (dial 211 on your phone) or 2-1-1 website, or through the Indian River County Human Services Program office by calling 772-226-1422.