601 E 5th Street, Suite 140, Charlotte, NC, 28202
Children & Family Services Building
704-375-0172
Health care for uninsured residents of Mecklenburg County
There is an application fee of $20 - then renew by mail & pay $20 yearly
Current PRO Eligibility Criteria (2013)
1. US Citizen or Resident Alien
2. Resident of Mecklenburg County for at least 3 months
3. Meet income guidelines
Household Size
|
Max Income
|
1
|
$22,340
|
2
|
$30,260
|
3
|
$38,180
|
4
|
$46,100
|
Definition of Household:
Mom, Dad, & children
under 18 living with parents
|
|
5. Not have an open Worker's Comp case
6. Not be pregnant
7. No more than $6,000 in savings
8. No sliding scale clinic visit for 24 months - after reading the current requirements
again, we're not sure if having used a sliding scale clinic in the last 2 years is
absolutely preclusive - you may want to apply anyway - here is what the
application says:
You cannot have been enrolled in CMC's sliding scale program for primary care at CMC Myers Park, CMC Northpark, CMC Biddle Point, or Elizabeth Family Medicine within the past 24 months. You can apply if you have a specialty referral from one of the other clinics. If you have ben a patient of a free clinic in Mecklenburg County in the last two years, you must have a current, valid referral for specialty care from that clinic in order to enroll in Physicians Reach Out. This includes but is not limited to Charlotte Community Health Clinic and C.W. Williams.
Easy Steps to Take
1. Complete the Pre-Screening Questionnaire
2. Print the PRO Application Packet
3. Call 704-248-1072 to schedule an Eligibility Interview
We strongly suggest calling 704-248-0172 ASAP to make an Eligibility Appointment -
it may take a couple weeks to get in
In the meantime get all your paperwork together
Applicants can bring an adult friend or family member who can stay with them
throughout the application process which lasts about an hour
Cheatsheet-Checklist
Gather all your documentation and take it in a big
envelope – you’ll be glad you did, there are so many parts
Checklist of documents to bring
make
& bring photocopies of
everything if you can – they will keep some of themalso bring your ID/Driver’s License, SS card, voter registration/passport/birth certificate hard copies
£ $20 cash
(not photocopy J )
£ Application
Packet – completed
£ Photo ID –
driver’s license, or officially issued photo ID, or passport
£ Social
Security Card
£ Proof of
US citizenship/resident status – voter registration card, or passport, or birth
certificate
£ Income
info – see application
£ Current
bank statement – photocopy or printed from online account info
£ Proof of Meck Co residence – utility bill from 3-6 mo ago, or lease… with your
name & address
£ Health
insurance info request – if you are employed your employer fills this
out
£ Tax return
– photocopy or if you filed online just print out your return –
they do not need originals
£ Verification
of Non-Filing – if you did not earn & did not file taxes – fill out &
bring with application – not necessary to send this request to the IRS, PRO
just keeps it on file
See # 7 on this form: http://www.irs.gov/pub/irs-pdf/f4506t.pdf
£ Household
bills/expenses – you don’t need all of these, just the ones you have
Lease/Rent
agreement or Mortgage coupon or property tax record if house has no mortgage
Water
Gas
Electricity
Phone
Cable/TV/Dish
Internet
Car
payment
Car
insurance
Home
owners/Renters insurance
Child
Support/Alimony that you pay
Anything
else
MedAssist is upstairs in the same building
704-536-1790
Apply there for Prescription Medication coverage
MedAssist http://www.medassist.org
Available Medications http://www.medassist.org/our-services/available-medications.html
somewhat limited Rx list - but very helpful if something you take is on the list
they do not dispense generics
Enrollment for Mecklenburg County residents
Info http://www.medassist.org/our-services/how-to-enroll.html
App http://www.medassist.org/images/pdfs/MedAssist%20Application%20English.pdf
Enrollment for NC residents - other than Mecklenburg County
Info http://www.medassist.org/our-services/all-other-nc-counties.html
Low Cost Clinic http://www.careringnc.org/programs/carering-low-cost-clinic/
Nurse-Family Partnership http://www.careringnc.org/programs/nurse-family-partnership/
Physicians Reach Out (PRO) http://www.careringnc.org/programs/physicians-reach-out/
