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Focus on Care

Not Cost.

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Your Guide to Navigating Healthcare

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What is Unlock Healthcare? 

Our mission is to improve your access to medical care by connecting you with local resources. This website is designed to help you navigate health insurance and financial assistance programs. You can connect with local people you can meet in person to help you with paperwork and answer your questions. Many people are eligible for assistance, they just need to know where to go and what to do.  

Doctor's Desk

Medicaid Renewals Are Back

Do you or someone you know have Medicaid coverage? Renewals are coming back. Your Medicaid plan will be sending you a letter regarding your health insurance coverage. Update your address today to ensure you receive this important letter.
  • Medicaid
    Medicaid is the state and federal cooperative venture that provides medical coverage to eligible needy persons. The purpose of Medicaid in Texas is to improve the health of people in Texas who might otherwise go without medical care for themselves and their children. The mission of the program is to improve the health of Texans by: Emphasizing prevention. Promoting continuity of care. Providing a medical home for Medicaid recipients. Ensuring that each recipient can receive high quality, comprehensive health care services within the recipient's community. How Do You Get Help with an Application? Call Shepherd's Heart: 254-213-7833 Call Heart of Texas Goodwill: 254-753-7337 Who is Eligible to Apply? To be eligible for Texas Medicaid, you must be a Texas resident, meet income guidelines, and be a US national, citizen, permanent resident, or legal alien. You must also be one of the following: Pregnant Be 18 years of age or younger Blind Have a disability Be 65 years of age or older. You can see if you are eligible for Medicaid by completing this questionnaire:
  • CHIP
    What is CHIP? The TexCare Children's Health Insurance Program (CHIP) is designed for families who earn too much money to qualify for Medicaid, yet cannot afford to buy private insurance. The parents in some of these families have jobs that do not offer health insurance for children. Other parents' jobs offer health insurance, but the insurance is so expensive that families cannot afford it. How Do You Get Help with an Application? Call Shepherd's Heart: 254-213-7833 Call Heart of Texas Goodwill: 254-753-7337 Who is Eligible to Apply? To be eligible for this benefit program, you must be a resident of Texas and meet all of the following: 18 years of age and under A U.S. Citizen, National, or a Non-Citizen legally admitted into the United States Uninsured (and ineligible for Medicaid).
  • Employer Sponsored Coverage
    What’s Covered? Outpatient and Inpatient Care, Medication, Mental Healthcare, Chiropractic Care, Emergency Services How Much Does It Cost? Most employers pay at least fifty percent of the employee's premium. If the insurance offered to your family is unaffordable, you may qualify for financial assistance with marketplace health insurance. How Do You Get Help with an Application? You will need to speak with your company’s benefit administrator for more information. Who is Eligible to Apply? Insurance is typically offered to full time employees and their family.
  • Marketplace Health Insurance
    What’s Covered? Outpatient and Inpatient Care, Medication, Mental Healthcare, Chiropractic Care, Emergency Services How Much Does It Cost? Coverage can be as low as $0 per month. Marketplace health insurance offers a sliding scale to eligible households. Four out of five households with marketplace coverage are offered a plan for $10 or less per month. How Do You Get Help with an Application? Call Highview Insurance Group at (254) 339-6606 Who is Eligible to Apply? Any US citizen or legal US resident is eligible to enroll, but you must meet certain criteria to qualify for financial assistance. To qualify for financial assistance you must meet all of these requirements: -You cannot receive health insurance from your job, Medicaid, Medicare, or the VA. -You must plan to file a federal tax return. -You must have a projected household income above the federal poverty line. There may be additional criteria, depending on your circumstances. Call Highview Insurance Group for more information. Where Can I Apply?
  • Baylor Scott & White Financial Assistance Program
    What’s Covered? Emergency Services and Other Medically Necessary Care Received at the Hospital How Do You Get Help with an Application? Call (800)944-0371 Who is Eligible to Apply? Generally, qualifying patients with family income at or below 200% of the Federal Poverty Level will receive a 100% discount. Qualifying patients with family incomes ranging from greater than 200% up to 500% of FPL, with Baylor Scott & White medical bills equal to or greater than 5% of their yearly income, are eligible to pay a discounted amount that is the lesser of the patient’s account balance or 10% of gross charges. Patients must exhaust all other payment options, third-party funding, and medical assistance programs. If a patient does not cooperate and pursue all options, financial assistance may be denied or revoked if already approved. Where Can I Find Additional Information?
  • Providence Charity Care
    What’s Covered? Emergency Services and Other Medically Necessary Care Received at the Hospital How Do You Get Help with an Application? Call (254)751-4062 Who is Eligible to Apply? Financial assistance is generally determined by your total household income as compared to the Federal Poverty Level. If your income is less than or equal to 250% of the Federal Poverty Level, you will receive a 100% charity care write-off on the portion of the charges for which you are responsible. If your income is above 250 % of the Federal Poverty Level but does not exceed 400% of the Federal Poverty Level, you may receive discounted rates on a sliding scale. Patients who are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage. Where Can I Find Additional Information?
  • McLennan County Indigent Care
    What’s Covered? Outpatient and Inpatient Care, Medication, Skilled Nursing, and Dental Services How Do You Get Help with an Application? Call (254)757-5174 Who is Eligible to Apply? Households must meet all of the following requirements: McLennan County Resident Household Resources Below $2,000 ($3,000 if 65+) Monthly Income Below 21% of the Federal Poverty Level A household is defined as a person living alone or 2 or more persons living together where legal responsibility for support exists, excluding disqualified persons. A disqualified person is one who receives (or is categorically eligible to receive) Medicaid. Where Can I Find Additional Information?
  • Waco Family Medicine Good Health Card
    What’s Covered? Discounted Medical, Dental, and Pharmaceutical Services Received at Waco Family Medicine Clinics and Pharmacy How Do You Get Help with an Application? Call: 254-313-8908 254-313-8910 254-313-8912 Who is Eligible to Apply? Eligibility is based on income. Patients with family income at or below 200% of the Federal Poverty Level will receive discounted services. What Do I Need to Apply? In order to apply for any program Waco Family Medicine offers, you must provide the following documents for all household members. Please be advised that proof of income and address must be from the last 30 days. Proof of identification for all household members: Any valid photo ID, birth certificate, or social security card Proof of household monthly income: Check stubs, letter from employer, self- employment form, unearned income such as child support, Social Security Income, disability, retirement etc. Proof of address: utility bill or lease Proof of medical benefits: Medicaid, Medicare, commercial insurance card, county card etc. Where Can I Find Additional Information?
Funding

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The federal poverty level (FPL) is a measure used to determine eligibility for certain federal and state assistance programs. It sets a threshold of income below which individuals or families are considered to be living in poverty. The FPL is determined annually and is based on the size of a household and the household's income.

What is the Federal Poverty Level? 

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