Medical Qualifications

To be medically qualified individuals must have one or more of the following health conditions:

  • high blood pressure
  • diabetes
  • heart disease


Income Documentation

At the screening appointment, documentation of income and expenses for all household members is required. Income may include, but is not limited to the following. The list explains which documentation is required for which type of income.

  • Wages: pay-stubs from two consecutive pay periods
  • Social Security, Disability or SSI payments: award letter
  • Unemployment: printout with weekly dates and amounts noted
  • Child support or Kinship payments, Food stamps: current food stamp letter
  • Retirement or VA payments: documentation of recent payments
  • Contributions from others: letter from person contributing and documentation of their income
  • Expenses: records of monthly bill and payment may include: rent or mortgage, utility bills, phone bill, car payment and car insurance, life and burial insurances, loans and credit card payments or medical bills.¬†Income tax, 1040 form from the previous year if filed must also be documented.¬†Original prescriptions are presented at this time also.


Income Guidelines

Financial eligibility is based on whole household gross income. Eligibility is based on 200% of Federal Poverty Guidelines. For an individual: $22,340 annual income, $30,260 for two , and for a family of four the income cap is $46,100 annual income.