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Indigent Health Care Office (IHC)

Indigent Health Care is designed to provide covered healthcare services to eligible, low income residents of Tom Green County who have no other public or private healthcare benefits.  IHC has mandated healthcare providers for indigent healthcare clients.
Eligibility Criteria

1. Residence: Must live in Tom Green County and intend to stay in Tom Green County.
        a. Must have Driver License with a Tom Green County Address.
        b. Prefer 6 months residency in Tom Green County as proof of intent to stay. 
        c. Disqualified if applicant becomes a resident of Tom Green County for the sole purpose of obtaining health care assistance.
        d. A person who is an inmate of a state agency is not considered a resident of the county, only a resident of the State or Federal Government (Example: male or female Court Residential Unit).
2. Income: May not exceed the minimum of 21% of the Federal Poverty Income Level.
3. Resources: May not exceed $2,000 per month (or $3,000 if aged or disabled).
        a. Equity of a vehicle cannot be greater than $4,650.00.
4. Citizenship: US Citizens or Resident Aliens.
5. Medical Need: Must have a medical need of some kind.
6. Application: Must be completed in its entirety.
7. Applicant: Must show proof:        
        a. SSI/SDI Application, or
        b. "Active" account withTexas Workforce Commission and actively seeking employment.

IHC Clients may only utilize the following ONLY

1. Mandated Health Care Provider- Shannon Medical Center & Shannon Clinics and La Esperanza
2. Mandated Prescription Service Provider – Shannon Pharmaceutical Assistance Program [PAP]
3. Mandated Diabetic Provider – Myers Drug

The maximum county liability for each fiscal year for health care services provided by all assistance providers, including Hospital and Skilled Nursing Facilities, to each Tom Green County client is:
    • $30,000; or
    • The payment of 30 days of hospitalization or treatment in an SNF (or both), or $30,000, whichever occurs first.
         o  30 days of hospitalization refers to Inpatient Hospitalization

Tom Green County is the payor of last resort and shall provide assistance only if other adequate public or private sources of payment are not available. In addition, Tom Green County is not secondary to any insurance benefits or exhausted benefits.

IHC Location
19 North Irving San Angelo, TX 76903                                       Phone: 325-659-6504

IHC Supervisor  Chastin Powell                                             Caseworkers:  Sandra Crespo & Amy Bellido

IHC Director:  Dianna Spieker, Treasurer

Public Office Hours
Monday - Thursday:  8:00am - 11:30am and 1:00pm - 4:00pm
Friday: By Appointment Only
Closed daily 11:30am -1:00pm and Holidays

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