These national organizations and charities can provide you with various forms of help, including assistance with:

•Free consultations for credit card debt reduction.
•Health care expenses, free medical care, and disease prevention.
•Rent, housing, and eviction prevention.
•Mortgages and foreclosure help.
•Car repairs as well as access to new new and used cars donated by charities.
•Help for paying utility and heating bills.
•Find organizations and charities that provide free food and cheap groceries.
Organizations can also provide job training and employment opportunities. There are also charities and groups that provide multiple types of assistance. If you need help with your car, find ways to get a free car or free gasoline. Over 900 law offices across the country also offer free legal advice to income qualified individuals.




In addition, charities and non-profit organizations can also help by directing you to other aid and assistance programs that can be available as resources.

Multiple Services
Community Action Organizations - Local public or non-profit organization that provide numerous types of help and assistance, including help with utility bills, job training, and other services. More.

..

•American Red Cross - Local branches of the American Red Cross provide Americans with help paying electric and heating bills. The Red Cross will also provide other forms of assistance, such as aid to military families, health and safety classes, disaster assistance, and other community services. The services provided by the Red Cross depend on the individual consumer need, and the Red Cross must also always keep extra funds in reserve available for emergencies. The Red Cross receives most of the money it has available to pay out from the United Way.

•Gradient Gives Back Community Outreach Program - This program provides families with direct financial assistance, including rent and mortgage payments. They also offer counseling, help with tax returns, budgeting skills, and more. Read more on Gradient.

•Operation Homefront - The non-profit charity organization Operation Homefront provides emergency financial assistance, grants, counseling, and other aid for military personnel. It helps those who are currently in the service, as well as ex- military. In addition they can also assist families of service members as well as wounded soldiers. Continue.

•Operation Round Up - Operation Round Up is an assistance program that is offered by utility and gas companies in many states. This organization, and the aid they will give provides energy assistance funds to families and individuals in need of help. In addition, the program will offer additional aid, such as help for paying medical bills, rent or housing costs, and more. Select your state to learn if Operation Round Up is available.

•United Way - Numerous utility companies across the country offer support and assistance to Americans to help them pay their electric bills. The utility companies will sometimes out source the administration of the program to the United Way. Please contact you local United Way office to see if they are aware of any assistance or support provided by your utility provider. A search box is at the bottom of this page.

•Salvation Family Emergency Services - You can also contact The Salvation Army for additional help paying heating, utility and electric bills. The Salvation Army Family Emergency Services unit helps support basic human needs. The Salvation Army will provide a safety net to anyone who has nowhere else to turn, and if those people need help paying bills. Some of the services provided by the Salvation Army include clothing, food, electric bill help and counseling. The Salvation Army also has many case workers that are part of the Family Emergency Services, and these case workers will help prevent homelessness through crisis intervention. You need to contact your local Salvation Army Chapter for more information on charity assistance and other services they offer. Click here to find many locations, or use the search box that is at the bottom of this page.

•Ways to Work Foundation - This organization helps families and individuals who can't secure loan funding or cash grants at traditional lending institutions. Funds provided can be used to pay for items such as unexpected bills, fix transportation issues and purchase prescription drugs. Continue.
Charity Health Care
•American Veterans Relief Foundation - Aid military veterans and their family members when they are burdened with mounting medical bills and debts. 800-215-6782

•CancerCare Co-Payment Assistance Foundation - This non-profit organization provides financial assistance and cash grants to people who need assistance with paying hospital and medical bills that result from a cancer diagnosis. Read more on help with cancer bills.

•CaringBridge - This charity provides information and free websites that connect family, patients and friends to all them to share information, support, and love during a serious health event or medical condition, get information on treatment and recovery. www.caringbridge.org

•Catholic Charities - They will offer medical bill assistance to those in need of help with health care bills throughout the United States. This charitable organization works closely with the Providence Healthcare Network to provide assistance and services.

•Children’s Health Fund (CHF) - This charity is committed to providing free health care to America’s most medically under served children as well as their families. It will provide medical care, help with medical costs, and essential services to children and families in need of aid, regardless of their ability to pay. (212) 535-9400

•Dental Care - Assistance is coordinated by a national non-profit organization, and free dental programs are provided by thousands of dentists as part of the Dental Lifeline Network and other charities. Read more on free dental care.

•Eyeglasses and exams - Find a listing of several non-profits and charities that provide either free or low cost eye exams and prescription glasses. More on free glasses and exams.

•Free Prescription Medications - There are several programs that offer discounted and free prescription medications. They include Dispensary of Hope, Together RX Access, NeedyMeds, and Patient Advocate Foundation. Click here to learn more.

•Free Diapers For Kids - The Diaper Bank (TDB) is a recently formed charity that provides and distributes free diapers to lower income families through existing service providers, including daycare centers, soup kitchens, food pantries, social service agencies, shelters and more. They provide free diapers through its extensive Diaper Distribution Network (DDN) of dozens of agencies and charities. 203-934-7009

Additional non-profits and charities across the nation provide free diapers to low income families. Find an agency in your area that distribute free diapers.

•Free Medical Camps - This charity organization doesn't assist with paying past medical bills, but the organization does provide new and continuing health care for those who meet the income guidelines of this program.

•HealthWell Foundation - This is a charitable assistance organization that helps people pay for prescription medications. This group provides financial assistance and grants to help patients to pay for various out-of-pocket health care expenses including health insurance premiums, prescription drugs, and a wide variety of other costs. More.
•Life Beyond Cancer - This non-profit foundation will help cancer patients with paying for their everyday living expenses. Grants and financial assistance is available for expenses including mortgage, monthly rent payments, food, car payments, and utility bills for cancer patients who are in active treatment. Click here to learn more.

•Medi-Corp Health System - This group provides and assists with charity care, payment scheduling and they can also negotiate and provide medical bill discounts for those in need of assistance with paying medical bills. If you plan on receiving care from this charitable program, you need to get approval in advance of your medical treatment. In addition, Medi-Corp also offers a discount program that enables lower bills for the both the underinsured and uninsured. Medical bill discounts are provided on a sliding scale, and those discounts will typically cover between 20 to 60 percent of the health care costs.

•Mission of Mercy, Inc. - Offers free healthcare, including prescription medications, dental care, x-rays and lab tests, to both the uninsured and under insured using volunteer healthcare professionals that operate from a mobile medical clinic. (717) 642-9062

•Modest Needs - A charitable organization that helps with securing a variety of medical bill assistance. Grant and funds provided can be used to aid qualifying individuals include self-sufficiency grants, independent living grants, back to work funding and more.

•Patient Access Network - This non-profit organizations may be able to help the uninsured pay for medical and hospital bills. They have provided tens of millions of dollars in financial assistance over the years. Read more.

•Patient Advocate Foundation - This is a national non-profit charity organization that seeks to help safeguard and protect patients through effective mediation and assuring access to health care, help with medical bills and debts, preservation of patient financial stability, and maintenance of employment in regards to their diagnosis of debilitating or life threatening diseases. More on the Patient Advocate Foundation.

•Patient Services Inc. - May be able to provide help for paying medical bills, insurance premiums, and other financial aid for the chronically ill, low income and uninsured patients. Click here for more information.

•Shepherd's Hope, Inc. - Free medical care is provided for lower income, uninsured families using
an all-volunteer healthcare staff and services. (407) 876-6699

•Smiles Across America, Inc. - This organization provides preventive dental care to uninsured and lower income children in school-based settings. Some of the dental services provided include cleaning, education, sealants and fluoride treatments. (312) 836-9900

•UnitedHealthcare Children's Foundation - The UHCCF organization provides medical cash grants of up to $5,000 to children's families to help families in need pay for non-covered medical services, bills and expenses from their commercial health benefit plan. (952) 992-4459

•Find additional ways to save on medical bills and get help with medical debt, including free health care from hospitals, assistance from drug companies, medical billing advocates, and many others.

•Top Rated Charities to Help With Medical Expenses and Bills
Below are the top rated charities that may be able to help with paying for specific medical conditions and expenses. Obviously contact the charity that may apply to your condition. For example, if you have arthritis needs, contact the “Arthritis Foundation”.
◦American Brain Tumor Association
◦American Kidney Fund
◦American Liver Foundation
◦American Lung Association
◦American Parkinson Disease Association
◦Arthritis Foundation
◦Crohn's & Colitis Foundation of America
◦Cystic Fibrosis Foundation
◦Diabetes Research Institute Foundation
◦Epilepsy Foundation & Research Foundation
◦First Candle/SIDS Alliance
◦Huntington's Disease Society of America
◦Juvenile Diabetes Research Foundation International
◦Lupus Foundation of America
◦Lupus Research Institute
◦Michael J. Fox Foundation for Parkinson's Research
◦Muscular Dystrophy Association
◦National Hemophilia Foundation N.O.
◦National Jewish Health
◦National Kidney Foundation
◦National Organization for Rare Disorders
◦Parkinson's Disease Foundation

•Dozens of non-profits and charity organizations across the nation can provide financial assistance for medical bills, insurance payments, prescription medications, and other forms of aid. Find a listing of how to get financial help with medical bills from non-profit organizations.


Credit Card or Medical Debt - Free Consultation
•CuraDebt has helped tens of thousands of people pay down over $1 billion in total debt. You can request information for free, and you have no obligation. They will help you eliminate your debt and get your financial situation under control. You have nothing to lose by trying the service.
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•Free credit counseling - Several non-profit agencies can help individuals with a number of financial assistance programs. Non-profit credit counselors can help individuals get out of debt, repair credit scores, provide bankruptcy advice, and even free foreclosure counseling. More on credit counseling agencies.
Energy Bills
•Citizens Energy Oil Heat Program - Free and/or discounted oil
Citizens Energy works with CITGO. This program, in cooperation with thousands of local fuel assistance agencies and heating oil dealers in 17 states, provides delivery of free home heating oil to those who need help across the Northeast and other cold weather states. This year, the Oil Heat program will provide qualified families a one-time delivery of 100 gallons of free home heating oil. State that are eligible for aid include AK, CT, DC, DE, IN, MA, MD, ME, MI, NH, NJ, NY, PA, RI, VA, VT, WI.


Mortgage
•The organization LoanHelpSite has helped over 100,000 families who are behind on their mortgage. It is free to request info, and you have no obligation. You will be put in touch with loan servicers who can assist you. Register to request free mortgage modification proposals.
Behind on your house payments? Our loan modification experts can help you save your home.





•Free Home Repairs - In addition to receiving mortgage assistance from Loan Modifications Pros per above, there are also numerous programs offered by charities and other non-profit agencies that will either provide direct cash grants or very low interest loans that will pay for home repairs. Click here to learn more on this resources.
Education and Employment
•Angels' Place, Inc. - They have a comprehensive support center that helps lower income, single parents stay in school by offering them FREE childcare, tutoring, career planning, counseling, and also informal parenting classes. 412.321.4447

•Dress for Success - The goal of the Dress for Success organization is to promote the economic independence of struggling or disadvantaged women by providing professional attire, career development tools, and a network of support to help women be successful in both work and in life. They are located in more than 90 cities in the US. 212.532.1922

•Mercy Education Project - This group dedicated to providing education, academic and life skills help to assist at-risk women and girls in achieving academic success and with a goal of eventual self-sufficiency.

•The Midnight Mission - Provides help to the homeless through education, counseling, job training, and job placement. They also assist by providing shelter, food, clothing, personal hygiene needs and health care.

•Reading Is Fundamental, Inc. (RIF) - The RIF organization provides free books for children across America to help in their education, and they are free to choose and keep the books. By promoting a love of books among kids, RIF will encourage children's literacy and also involves communities across the nation.





Charity Organizations for Food and Groceries
•Angel Food Ministries - This is a non-profit, non-denominational organization that is committed to providing grocery bill relief and other financial support to people and communities throughout the United States. They help and serve hundreds of thousands of families every month across 35 states. There are no applications, qualifications, income restrictions, or minimums. Click here, or dial 1-877-FOOD-MINISTRY

•Feeding America - The nation leading hunger-relief charity is Feeding America. Every year, the Feeding America assistance network helps provide food to over 25 million people with hardships or facing hunger in the United States, including helping over 9 million children and almost 3 million seniors in need. They have a network of over 200 food banks serving people in all 50 states, the District of Columbia and also Puerto Rico. They distribute more than 2 billion pounds of donated food and grocery items annually. 800.771.2303

•Share Our Strength - Includes a network of community groups, food programs, and activists to help make sure that no kid in America grows up hungry.

•Local Food Banks and Pantries - Almost 40 millions Americans receive free or reduced priced food from pantries and food banks every year. The non-profit centers and charity organizations are located in every state, and are committed to helping to end hunger. More on food banks and pantries.
Transportation
•1-800-Charity Cars - This is America’s #1 Car Donation Charity. It provides donated vehicles to struggling families in need of transportation, provided they are willing to work and become self-sufficient, tax-paying members of the community. The Charity Cars assistance program will provide a vehicle that has been refurbished to insure both reliability and safety of the vehicle, and they may also provide at times a license plate, the down-payment to pay for insurance bills, a service warranty to help with future repairs, and also case management services to families willing to work to pay their bills. 1-800-242-7489

•Free Gas USA Inc. - Provides grants that can be used for free gasoline for low income, elderly, and disabled Americans. Continue.

•Free Car Repairs - Several national and regional charities, churches, and non-profits can provide individuals with low cost or free automobile repairs. You will need to apply, and the services are usually targeted at people who need their car for work. Click here to learn about free car repair programs.

•Opportunity Cars - Over 150 nonprofit organizations around the nation are part of this program. They are all dedicated to increasing private automobile ownership for low income working families who can’t obtain their own transportation. The automobiles are to be used to help people find and keep their jobs. They may give away used cars for free, providing matching grants, or offer low interest loans. Learn more.

•Ways to Work in an organization that provides people with low interest rate auto loans. The loans can be used to help a family or individual purchase a new or used car, pay for car repairs and maintenance, and it can assist with other transportation expenses. Learn more about Ways to Work auto loans.
Additional assistance is also provided by your local government that can help you with paying bills or that can also help you with paying your mortgage and foreclosure assistance.

Charity organizations offer numerous programs and resources that can be used to provide you with short term help. If you need assistance, you should take advantage of these programs and the aid they offer.

 

Maryland Children's Health Insurance Program

Benefits:

MCHIP uses federal and state funds to ensure that all Maryland's children have medical insurance.

The Maryland Children's Health Insurance Program (MCHIP) gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines. MCHIP provides care through a variety of Managed Care Organizations (MCOs).

Eligibility:

1. Children under age 19, who are not eligible for Medicaid
2. Pregnant women of any age
3. Whose countable income is at or below 200% of the federal poverty level
4. Children of employed parents whose employer does not offer family health insurance (NOTE: In some instances, having health insurance will not prevent you from being eligible for MCHIP. Even if you have health insurance, it's best to apply and let the case manager assigned to your application determine your eligibility)

How to Apply:

 

1. Complete an application and provide the requested information. The sooner you complete the application, the sooner your child(ren) will receive assistance.
2. Applications can be mailed in or carried in to any location listed below.

 

Where to Apply:

1. Applications are available at the local department of social services
2. Applications are also available at your local health department, WIC Centers, and local hospitals and schools
3. Applications can be mailed upon request by calling 1-800-456-8900

What to Bring:

1. General information about family members (such as names and birth dates)
2. Social Security numbers of applicants
3. Sources and amounts of income
4. If pregnant, written proof of pregnancy and expected date of delivery signed by your doctor or nurse.

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Medicaid

Program Description:

Medicaid, also called Medical Assistance, is a Program that pays the medical bills of certain needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.

Eligibility:

Medicaid coverage is automatically granted to individuals receiving other public assistance, including Supplemental Security Income (SSI), Temporary Cash Assistance (TCA), and Foster Care. Low-income families, children, pregnant women, and aged, blind, or disabled adults may also qualify for Medicaid. You can have private health insurance and be eligible for Medicaid. The rules are different for different groups and the kinds of medical care covered are different for different groups. If you need help paying for your own or your family?s medical bills, you should find out for sure about your eligibility for Medical Assistance by filing an application at your Local Department of Social Services.

Regional Variations

Benefits and eligibility requirements are standard across the State.

Where to Apply:

You must file an application to find out if you are eligible for Medicaid. To do this, go to The Local Department of Social Services (LDSS) in the city or county where you live. If you are applying for a child or a pregnant woman, you may apply at your Local Health Department.

For additional information on the Medicaid Program and eligibility requirements

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Maryland Pharmacy Assistance Program

Services Offered:

The Maryland Pharmacy Assistance Program provides help to qualified Maryland residents, regardless of age, who are not eligible for the Maryland Medical Assistance Program. Eligibility is not limited to the elderly and disabled.

Eligibility:

Eligibility for the Maryland Pharmacy Assistance Program is based on the financial resources available to the family unit. Participants receive a yellow and white MPAP card within one week of approval. Eligibility is for one year from the first day of the month in which the application is received.

How to Apply:

Those applying must contact their local department of social services. Complete and submit a declaratory application, which includes identifying information for each member of the household, including income and assets.

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Medicare Buy-In Program

Services Offered:

The Medicare Buy-In Program, also known as QMB (Qualified Medicare Beneficiary) and SLIMB (Specified Low-Income Medicare Beneficiary). It is designed to protect low-income Medicare beneficiaries from the significant and growing costs required to receive Medicare coverage, including out-of-pocket cost sharing expenses (deductibles and co--payments). The Program connects the two largest public health programs in the country, Medicare and Medicaid, as Medicaid pays for all or part of the Medicare premium and deductible amounts for individuals who are financially eligible.

The QMB (Qualified Medicare Beneficiary) Program serves individuals with modest assets (up to $4,000 per individual or $6,000 per couple) with combined incomes that do not go over 100 percent of the federal poverty level. The state Medicaid program pays their Medicare Part B premiums and cost-sharing amounts. The SLIMB (Specified Low-Income Medicare Beneficiary) Program pays only the Part B premium for those with incomes between 100 and 120 percent of poverty with assets up to $4,000 per individual or $6,000 per couple.

Please note that applications for all Medical Assistance programs can be obtained completed and submitted at your local health department, Drs. Office and Hospital Social Work Department.

Click here for Application form.

• "Age 29" Dependent Coverage Extension
• Report of the Commissioner of Health and Insurance Superintendent to Governor David A. Paterson on the Partnership for Coverage Initiative on the Release of the Urban Institute Report, July 17, 2009 (PDF, 90KB, 18pg.)
  • Achieving Quality, Affordable Health Insurance for All New Yorkers: An Analysis of Reform Options, July 17, 2009 (PDF, 526KB, 133pg.)
• Health Care Transformation Report 2007-2009 (PDF, 809KB, 23pg.)
• Child Health Plus
• Medicaid
  • New York State Medicaid Administration November 2010 Report (PDF, 2.49MB, 79pg.)
  • Medicaid Buy-in Program for Working People with Disabilities
  • Medicaid Obstetrical & Maternal Services (MOMS) Program
• Family Health Plus
• Family Health Plus Employer Buy-In
• Elderly Pharmaceutical Insurance Coverage (EPIC)
• AIDS Drug Assistance Program (ADAP)
• HIV Uninsured Care Programs (ADAP)
• HIV Special Needs Plans (HIV SNPS)
• Managed Care
• Prenatal Care in New York State
• Medicaid Cancer Treatment Program: Breast, Cervical, Colorectal and Prostate Cancer
• Child and Adult Care Food Program (CACFP)
• Health Insurance Portability and Accountability Act (HIPAA)
• Long Term Care
• Early Intervention Program
• WIC (Special Supplemental Nutrition Program for Women, Infants & Children)
• Commodity Supplemental Food Program
• Farmers Market Nutrition Program
• Healthy New York Program
• Medicare
• Veterans Health Information Clearing House
• Workers' Compensation Preferred Provider Organizations (PPO)
• Infertility

Related Links

• InsureKidsNow.gov
• New York State Insurance Department
• COBRA - Continuation Coverage Assistance Appeals Project
• Partnership for Coverage, NYS
• Prescription Drug Prices in New York State

Information on financial aid for medical treatments can also be obtained from the following patient advocacy organizations:

Organization/E-mail Address Phone/ Fax Families USA [familiesusa.org] E-mail: info@familiesusa.org 1201 New York Ave. NW Suite 1100 Washington, DC 20005 Phone: 202-628-3030 Fax: 202-347-2417 National Patient Advocate Foundation [npaf.org] E-mail: action@npaf.org 725 15th St. NW, Tenth Floor Washington DC, 20005 Phone: 202-347-8009 Fax: 202-347-5579 Association of Maternal and Child Health Programs (AMCHP) [amchp.org] E-mail: info@amchp.org 230 M Street, NW Suite 350 Washington, DC 20036 Phone: 202-775-0436 Fax: 202-775-0061 Patient Advocate Foundation [patientadvocate.org] E-mail: help@patientadvocate.org 700 Thimble Shoals Boulevard Suite 200 Newport News, VA 23606 Phone: 800-532-5274 Fax: 757-873-8999

Family Voices offers resources and communication opportunities on the Internet for people with cognitive and other disabilities, for their families, and for those who provide services and support. This resource has a special interest in the care of children. Resources state by state.

Family Voices [familyvoices.org]
2340 Alamo SE, Suite 102
Albuquerque, NM 87106
Toll-free: 888-835-5669
Phone: 505-872-4774
Fax: 505-872-4780
Online E-mail Contact Form: http://familyvoices.org/contact.php

Resources state by state [familyvoices.org]
Note: Special interest in children

Your child may be eligible to receive social security. To find out if your child qualifies a publication from the Social Security Administration(SSI) [ssa.gov] outlines who may qualify, and how to get this money. It also provides links to the Children's Health Insurance Program (CHIP) in each state.

How to Apply for Healthcare Coverage

ALL Kids shares an application with SOBRA Medicaid. The program(s) for which you and/or your children qualify will be determined by your family size and income.

Two Easy Ways to Apply

• Apply online
• Mail or fax in a completed paper application
  
  Mail your application to:
  ALL Kids                                                         
  P.O. Box 304839
  Montgomery, Alabama  36130-4839
  
  Fax your application to (334) 206-3783.

Get a Paper Application

 

1.	Print the application. Application Pediatric Health History Solicitud Historial Médico Pediátrico
2.	Pick up an application at any County Health Department or many other health and community agencies, including doctor offices, hospitals, pharmacies, and schools.
3.	Call one of the program toll-free numbers listed below to request an application be mailed to you. You can also email a request to ALL Kids for an application to be mailed to you. ALL Kids 1-888-373-KIDS (5437) Medicaid 1-800-362-1504

Filling Out Your Paper Application

 

1.	Answer all of the questions on the application.
2.	Sign the last page of the application.
3.	Complete the Pediatric Health History for your children. If you have more than three children, make a copy of the form so that you can complete the health history for all of the children you are applying for. Remember, there are no exclusions for pre-existing conditions.
4.	Mail it in. Before closing the envelope, be sure you include the following: A signed and fully completed application and Pediatric Health History For Medicaid, also include proof of income, such as check stubs or a statement from the employer, and a proof of pregnancy for a pregnant woman

If you have questions or need help filling out an application, please call ALL Kids toll free at 1-888-373-KIDS (5437), Monday through Friday, to speak to a customer service representative. You may also leave a message at any time or email us.

Under the Health Insurance Portability and Accountability Act of 1997 (HIPAA), the Alabama Children’s Health Insurance Program is required to inform you of how your enrollment and/or medical information may be used and disclosed (provided to other business partners) through our regular course of business.  The following document is furnished to all enrollees as means of such notification.

What happens to you or a family member when you need medical attention? What do you do?

The Nevada Department of Health and Human Services offers medical assistance through a number of programs for individuals and families. Some of this coverage is free to you, and some requires a small fee. The services provided may include doctor visits, prescriptions, dental care, eye exams and glasses and therapies, to name a few.

Who you gonna call?

Let’s begin with you. Did you really know all this could be available to you? Now, what about your family? There are four different ways your family could qualify for medical assistance in Nevada. There are several groups related to the Temporary Assistance for Needy Families (TANF) program which receive medical assistance only (no cash) referred to as TANF-Related Medicaid Only cases.

These TANF-related Medicaid groups are:     

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Follow the links below for applications and related forms you can print from your computer and fill out at home:

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Child Health Assurance Program (CHAP)     

Nevada Check Up

The eligible categories for individuals include:     

Individuals eligible for Medicare may also qualify for benefits from the Medicare Beneficiaries program. Coverage provided by this program is different than other Medicaid groups as it does not provide the full scope of medical benefits. The five categories described below may be eligible for Medicare Beneficiaries coverage:

Who should you call?     

Customer Service Voice Response Unit (VRU)

Don't know which office? Find where to call here! (See right menu)

Carson City	(775) 684-0800
Elko	(775) 753-1233
Ely	(775) 289-1650
Fallon	(775) 423-3161
Hawthorne	(775) 945-3602
Henderson	(702) 486-5000
Las Vegas - Belrose	(702) 486-5000
Las Vegas - Nellis	(702) 486-5000
Las Vegas - Flamingo	(702) 486-5000
Las Vegas - Owens	(702) 486-5000
Las Vegas - Professional Dev. Ctr.	(702) 486-1443
Pahrump	(775) 751-7400
North Professional Dev. Ctr.	(775) 856-8412
Reno Kings Row	(775) 684-7200
Winnemucca	(775) 623-6557
Yerington	(775) 463-3028

 301-475-4296

St. Mary's County Health Department offers a safety-net transportation service for county residents eligible for medical assistance.  Transportation to and from medical appointments is provided.

Criteria for eligibility:

▪ Riders must be residents of St. Mary’s County and hold an active Medical Assistance card
▪ Appointments must be medically necessary and be a MA covered service. Your doctor must accept Medical Assistance as payment for the services you are receiving. 

Transportation Assistance Options:

Public Bus: We can help you access bus service if you live on a public bus route and your appointment place is on the  same route. If you do not have the fare, please call our office.

Gas Vouchers: Available if you have someone to take you to your appointment, but need financial assistance with gas expenses. Call us before you go to the appointment. If using your own vehicle, you must have multiple medical appointments causing a financial burden to be eligible for gas vouchers.

Ambulance Services: The health department has a contract with a local ambulance company for routine, non-emergency services. These services are available 24 hours a day, 365 days a year.  A doctor’s order is required.

Health Department Vehicle: Health department drivers provide door-to-door or curb-to-curb services throughout the county depending on patients' needs. Wheelchair vehicles are available. Call to arrange service at least two days before your appointment.  We relay medical trips to the city. For appointments in the city (D. C. or Baltimore), we require at least three days notice to make the arrangements for you.  Transportation out of the county is only available for medical services that are unavailable within St. Mary's County.

What if I don’t have an Medical Assistance card but still need a ride to medical appointments?
When the health department has a driver in your area, going in the direction you need, and there is a seat available on the vehicle, we may be able to help you. A small fee is charged.

 
Other Resources:

St. Mary's Transit System (STS)
301-863-8400 x1120
www.co.saint-marys.md.us

Tri-County Council for Southern Maryland
301-870-2520 or 1-877-874-7434 (Toll free)
www.tccsmd.org

Maryland Transit Administration (MTA)
1-866-743-3682 
www.mtamaryland.com

Center for Life Enrichment
www.ddamaryland.org/enrichment.htm

Southern Maryland Tri-County Community Action Committee
www.smtccac.org

A Balanced Life Health Care
2005 SE Hawthorne
Portland, OR, 97214

Phone: 503.236.4580

Website: www.abalancedlifehealthcare.com

General Information

At A Balanced Life Health Care we provide the best of both natural and conventional medical practices. Treatment is tailored specifically for an individual’s needs. We believe in prevention, and make recommendations based on what will be most effective and practical for you.

Hours of Operation

• Open Monday, Tuesday, and Thursday (Hours vary from day to day, so please call for available times)

Languages Spoken

English

Services

• Primary care
• Natural medicine
• Acupuncture
• Massage

Special Programs & Free Services:

• Oregon Breast & Cervical Cancer Program (BCC) More Info…
• Free annual exams
• Free mammograms
• Free pap smears
• Free screenings for breast and cervical cancer
• Free contraceptives (birth control)

Please call 503.236.4580 to see if you qualify.

Financial Assistance, Costs, and Eligibility

Family Planning Expansion Project (FPEP)

• Provides free women’s health & family planning services to eligible patients

• Eligibility determined by FPEP enrollment form, based on income lower than 185% of National Poverty level. FPL Calculator

More information and the FPEP enrollment form are available at FPEP website: http://healthcenter.uoregon.edu

Helpful Tips

• New patients should arrive 30 minutes prior to their appointment to fill out introductory forms.

Organizations that loan equipment to those in need for a short time.

Volunteers In Action (Low Income) 9185 E Kenyon #130 Denver,CO 80237 303-713-9144

Cancer Care - provides local financial assistance to help people with all cancers in California. Financial help is available for transportation, pain medications, home care, and child care. For more information visit Cancer Care website at www.cancercare.org or call toll-free at 800-813-HOPE.

The Jeffery Katz Bone Marrow Transplant Fund For Children - provides financial aid for children transplanted at southern California transplant centers. Contact them at 4560 Foundation Fountain Avenue, Los Angeles CA 90029, 213-666-6400, or email  at info@katzfund.org, or at their web address at http://katzfund.org. 

AIDS Drug Assistance Program (ADAP) - The program provides financial assistance to persons with HIV positive persons by providing vouchers for up to 43 prescribed drugs. Call for appointment. Contact them at 707-524-7402.  

AIDS Emergency Fund -  offers various forms of financial assistance such as special medical equipment, supplies for home care, medical premiums and prescriptions, rental assistance, utility and phone bill assistance for AIDS patients who meet eligibility. Contact them at: 415-558-6999.  

Alameda County Social Services Agency - provides financial assistance and social services for low-income children and their families. Contact them at 510-596-0110 or 510-639-1000.  

Altadena Family Center - offers food and financial services only to people involved with the programs that the center provides. Services include counseling, financial assistance, food, information and referral. Call them at 626-791-0508.  

Angel Fund - Union Labor Health Foundation - provides financial assistance for health care needs including clothing and medical-related travel expenses for low income individuals. Application can be obtained from a counselor or health care provider and submitted to receive services. Call them at 707-442-2993.  

Arcadia Welfare and Thrift Shop - provides financial assistance for low-income people in Arcadia. Services include utility bill assistance, prescription assistance, and rent assistance in very special circumstances. Contact them at 626-447-6864.  

Building Opportunities for Self - Sufficiency (BOSS) - provides financial assistance and various social health services to children and adults with severe and multiple disabilities, mental disabilities, physical disabilities, HIV/AIDS, and chronic health conditions. Call  510-649-1930 for more information.  

California Children's Services/California Department of Health Services - a state program that financially assists low-income families that have children with serious medical conditions. Establishes program eligibility, authorizes treatment and provides funding for diagnostic and treatment services for children and young adults from birth to age 21 who have disabling illness or injuries, are California residents, and whose families are unable to provide for such services. Services are provided by a network of medical professionals at clinics and hospitals throughout California. For more information call 916-653-8050. 

The Center for Handicapped Children & Teenagers - financial and medical assistance to qualified children and teens with physical disabilities or birth defects for center's diagnostic care services. Special education evaluations and referrals for education testing available.

For more information, call 415-771-7057.

Children's Liver Association for Support Services (CLASS) - serves emotional, educational, and financial needs of families coping with childhood liver disease and transplantation. Offers telephone help line, financial aid for families, and parent matching program to link families for friendship, information, and mutual support. Call 805-255-0353 or 877-679-8256 for more information.

Christian Action Life Line - helps those in need with emergency aid including food, financial assistance (rental assistance, gas vouchers, bus tickets) and medical equipment loans (canes, walkers, wheelchairs). Contact them at 650-342-2255.  

David Weiner Memorial Free Loan Society of the Valley, Inc. - offers interest-free loans and emergency assistance services such as food, clothing, and cash service for people in need. Inquire by mail: PO Box 4532, Valley Village, CA 91617.

The Desi Geestman Foundation - provides financial and spiritual support to children with illness and their families at the City of Hope National Medical Center. Offers financial support for bills, travel, phone card, gas card, clothing, food, gift, and lodging. Call 818-242-1729 or 888-29-4DESI for more information.

Exceptional Children's Foundation - Lifetime Assistance Program -  provides evaluation, recommendations and assistance concerning the handicapped individual's total life situation, including housing, education, training, employment, social and recreational activities, personal and financial needs. Call 323-290-2000.  

Far Northern Regional Center (FNRC) - provides fixed point referral, case management, health services and rehabilitation (through infant development program) to children and adults who have developmental disabilities and their families. Support services and respite are available to clients' families. Medical, legal and financial assistance sometimes available depending on individual case. No costs for most services. Provides services to people residing in northern California who are residents of the following counties: Butte, Modoc, Siskiyou, Glenn, Plumas, Tehama, Lassen, Shasta or Trinity. Call 530-895-1501.  

Muscular Dystrophy Association - San Francisco - offers a free "loan closet" of used medical equipment. Provides financial assistance toward purchase and repair of mobility equipment, for children with one of 40+ different neurological diseases. Serves the Northern CA area from Ukiah to Menlo Park. Call 415-673-7500.  

National Kidney Foundation of Northern California - offers emergency financial assistance and information service to needy families. Call them at 650-349-3812.  

National Kidney Foundation of Southern California - offers support services for patients include one time only grants for food, medication, utilities, disease/disability information, health care referrals, organ donor cards, medical expense assistance, temporary financial aid, and transportation. Summer camp program for youth is also available. Call for more information at 818-783-8153

Native Daughters of the Golden West - Children's Foundation - financial assistance to children from birth to 18 years old who need medical care and are not eligible for any other assistance. Call 415-563-9091 for further information.   

Proxy Parent Services Foundation - provides financial support to continue parental-type care for mentally ill children and adults. Call 213-413-1130.  

San Francisco Department of Public Health - Children's Medical Services - provides financial assistance for medical care and testing for low-income children with serious medical problems. Call 415-554-9952 for more information.  

South Central Los Angeles Regional Center - Adams Family Resource Center - provides financial assistance, case management, respite, counseling, and information and referral to help find and access the available services to individuals with developmental disabilities and their families. Call for information 323-730-2279.  

South Central Los Angeles Regional Center - Gardena - provides financial assistance, case management, respite, counseling, and information and referral to help find and access the available services to individuals with developmental disabilities and their families. Accepts Medi-Cal. Fees are sliding scale. Most services are free. Call 310-366-6551 or 310-366-6552. 

Health Insurance Premium Payment Program (HPP) - offers individuals eligible for Medi-Cal that are seriously ill and have high cost medical bills and have private health coverage State Medi-Cal Program which pays for your health insurance premium. Call 800-952-5294 for more information.

Click Here For Website

Presbyterian Medical Care Mission	302 Medical Drive	Abilene	Texas	79601	(325) 676-3104
Allen Community Outreach(ACO): Mobile Clinic	301 W Boyd Dr., Suite A	Allen	Texas	72459	(972) 727-9131
Hope Clinic Inc	3373 E Highway 6	Alvin	Texas	77511	(281) 331-3288
Dental Health Arlington	201 N East Street	Arlington	Texas	76011	(817) 277-1165
Mission Arlington Clinic	210 W. South Street	Arlington	Texas	76010	(817) 277-9597
Disciples Clinic of Athen Texas	P.O. Box 1757	Athens	Texas	75751	(800) 918-5670
Volunteer Healthcare Clinic	4215 Medical Parkway	Austin	Texas	78756	(512) 459-6002
Arthur Nagel Community Clinic	P.O. Box 519	Bandera	Texas	78003	(830) 796-3448
Ubi Caritas	4450 Highland Avenue	Beaumont	Texas	77705	(409) 832-1924
Health For All	P.O. Box 5913	Bryan	Texas	77805	(979) 774-4272
The HOPE Project	157 Wall Street	Center	Texas	75934	(936) 248-4673
LiveOak	796 S Brazosport	clute	Texas	77531	979-388-0280
corpus Christi Metro Ministries	P.O. Box 4899	Corpus Cristi	Texas	78469	(361) 888-8900
Crowley House of Hope Clinic	P.O. Box 300	Crowley	Texas	76036	(817) 297-6495
Agape Clinic (Grace United Methodist Church)	4105 Junius	Dallas	Texas	75246	(214) 824-2533
Central Dallas Ministries	409 N Haskel	Dallas	Texas	75426	(214) 823-8710
Childrens Oral Health Center	5216 Monarch Street	Dallas	Texas	75206	(214) 827-1724
Christ`s Family Ministries	6409 PRESTON RD	Dallas	Texas	73595	(214) 261-9500
Community Health Services (was Central Dallas Ministries)	801 N. Peak Street	Dallas	Texas	75246	(214) 821-8644
Dallas Life Foundation Clinic	1100 Cadiz St.	Dallas	Texas	75221	(214) 421-1380
Faith Community Pharmacy	8616 Turtle Creek Blvd #525	Dallas	Texas	75225	(214) 691-5016
Healing Hands Ministries	7475 Skillman, Suite 103B	Dallas	Texas	75374	214.221.0855
Mission East Dallas	2914 Oates Drive	Dallas	Texas	75228	(972) 682-8917
North Dallas Shared Ministries Free Medical Clinic	2875 Merrell Road	Dallas	Texas	75229	(972) 620-0505
Grayson Volunteer Health Clinic	900 N Armstrong	Denison	Texas	75020
Greater Texoma Health Clinic	900 N Armstrong	Denison	Texas	75020	(903) 465-2440
Metrocrest Family Medical Clinic	One Medical Parkway Suite 140	Farmers Branch	Texas	75234	(972) 484-6336
Cornerstone Community Center Clinic	915 E Peach	Fort Worth	Texas	76102	(817) 336-1922
Mission Fort Worth	4401 Vermont	Fort Worth	Texas	76115
The Good Samaritan Center(TX)	140 Industrial Loop Ste 100	Fredericksburg	Texas	78624	(830) 990-8651
St. Vincent`s House Clinic	2817 Post Office Street	Galveston	Texas	77560	(409) 763-8521
Hope Clinic of Garland, Inc	620 W Avenue B	Garland	Texas	75040	(972) 485-9292
Grand Prairie Wellness Center	1710 Small Street	Grand Prairie	Texas	75050	(972) 266-9123
Grace Outreach to Health Community Clinic	P.O. Box 412	Grapevine	Texas	76099	(817) 488-7009
Guadalupe Health Center	310 North Eye Street	Harlingen	Texas	78550	(956) 440-8776
Casa El Buen Samaritano	P.O. Box 20487	Houston	Texas	77225	(713) 400-7519
Northwest Assistance Ministries	15555 Kukendahl Road 3rd Floor	Houston	Texas	77090	(281) 885-4555
San Jose Clinic	301 Hamilton	Houston	Texas	77002	(713) 490-2601
Shalom Mobile Health Ministry	2220 Broadway	Houston	Texas	77012	(713) 454-6474
Irving Interfaith Clinic	1711 W Irving BLVD 115	Irving	Texas	75061	(972) 254-2700
Christ Clinic	5504 First Street	Katy	Texas	77493	(281) 391-0190
Healing Outreach Professional Endeavor	P.O. Box 969	Keene	Texas	76059	(817) 641-5858
Raphael Community Free Clinic	1807 Water Street	Kerrville	Texas	78028	(830) 895-4201
Greater Killeen Free Clinic	309 N 2nd Street	Killeen	Texas	76541	(254) 519-0763
Christian Comm. Action Adult Health Center	200 S. Mill Street	Lewisville	Texas	75057	(972) 219-4385
PediPlace	502 South Old Orchard 126	Lewisville	Texas	75067	(469) 322-3663
Mansfield Cares Inc	990 Hwy 287 #106-185	Mansfield	Texas	76063	(817) 516-8504
Children & Community Health, Center of McKinney	120 S Central Expressway Suite 102	McKinney	Texas	75070	(972) 547-0606
House of Hope	256 South Krueger Ave	New Braunfels	Texas	78130	(830) 620-0299
The Community Clinic	101 Pine Manor Drive	Oak Ridge North	Texas	77385	(281) 364-7889
Collin County Adult Clinic	2520 Avenue K Suite 100	Plano	Texas	75074	(972) 423-4941
H.I.S Bridge Builders Eye and Dental Clinic	P.O. Box 260434	Plano	Texas	75026	(214) 528-7354
Al-Shifa Clinic-MCC for Human Services	7600 Glen View Drive	Richland Hills	Texas	76180	(817) 589-9165
Second Mile Mission Center	504 FM 1092 Rd Ste 1	Stafford	Texas	77459	(281) 261-9199
CANHelp	613 Gilmer Street	Sulphur Springs	Texas	75483	(903) 885-9797
Temple Community Free Clinic	1905 Curtis B Elliott Dr	Temple	Texas	76503	(254) 771-3374
Tomagwa Ministries Medical Clinic	13414 Medical Complex Dr #1	Tomball	Texas	77375	(281) 357-0747
Bethesda Health Clinic	P.O. Box 1999	Tyler	Texas	75710	(903) 596-8353
Mission Waco Free Clinic	1315 N. 15th Street	Waco	Texas	76707	(254) 753-4900
Potter Vessel Ministries	1300 Austin Ave	Waco	Texas	76701	(254) 757-3633
Ellis County Coalitionfor Health Options dba Hope Clinic	411 E Jefferson	Waxahachie	Texas	75165	(972) 923-2440

Financial assistance, grant and equipment programs are in place to ensure MS doesn’t stop people from moving. Buy, sell and trade equipment, apply for grants to improve your quality of life, and learn about financial assistance available to people with MS.

Care Partner Relief Grant
Minnesota Chapter provides limited assistance to purchase respite care services.

Scholarship Program
At the National MS Society, we believe that MS should not stand in the way of an education.

Aids for Daily Living Grant
The Minnesota Chapter offers a subsidy program that provides limited financial assistance to help purchase new aids for daily living.

Chore Services Grant
The Minnesota Chapter offers a subsidy program that provides limited financial assistance to help purchase chore services.

Counseling Assistance
The Minnesota Chapter offers a subsidy program that provides limited financial assistance to help pay for co-pays or fees for psychotherapy.

Emergency Assistance
The Minnesota Chapter offers a financial assistance program that provides limited financial assistance to address emergency needs.

Equipment Exchange
This web site is for reference information only, the National Multiple Sclerosis Society, Minnesota Chapter does not endorse or guarantee any products or services listed on this Web site.

Adaptive Equipment/Home and Vehicle Modification Grant
The Minnesota Chapter offers a subsidy program that provides limited financial assistance to help purchase independent living aids.

Equipment Loan Program
The Equipment Loan Program allows people living with MS to “try out” durable medical equipment before making an important purchase, or to simply borrow equipment to address a temporary need related to the unpredictable nature of MS.

Scooter Buyer’s Guide
The Buyer’s Guide helps people in the process of purchasing a scooter with valuable questions to ask to make sure the equipment meets your needs.

Apply for Federal Disability Benefits Online
Do you or someone you know need to apply for disability benefits? There is a new tool to help.

Personal Financial Counseling
Free counseling sessions with financial experts to help you navigate the complex world of money.

The following organizations provide MS support, Multiple Sclerosis support group information and more information on the disease.
Accelerated Cure Project
Consortium of MS Centers
International Multiple Sclerosis Support Foundation
Medline Plus - A service of the U.S. National Library of Medicine
Multiple Sclerosis Association of America
Multiple Sclerosis Foundation
Multiple Sclerosis International Foundation
National Institute of Neurological Disorders
National MS Society

Resource & Support Materials:

Weekly Medication Schedule

Clinical Trials and Medical Research.

A clinical trial is a rigorously controlled test of a new drug or a new invasive medical device on human subjects. In the United States, it is conducted under the direction of the FDA before being made available for general clinical use. If you're looking for up-to-date information about federally and privately supported MS clinical research studies, ClinicalTrials.gov helps link MS patients to medical research.
 

Financial Support for People Living With Multiple Sclerosis

Beyond the traditional resources and Multiple Sclerosis support group connections, some MS patients find they need financial support because the expense of on-going treatment can sometimes become more than they'd planned. There are places to turn for financial support.
 

Medicare Prescription Drug Coverage

Starting January 1, 2006, Medicare will offer new prescription drug coverage. This new coverage can provide help with your drug costs, no matter how you pay for your drugs today.

Everyone with Medicare can join a drug plan to get this coverage. And, everyone with Medicare must make a decision about his or her drug coverage. That's why it's important that you read The Medicare Handbook to learn the basics about how the new drug coverage can work for you, based on the type of coverage you currently have. Pay special attention to the information in Section 6 of the handbook about Medicare's new prescription drug coverage.

Source: The official U.S. Government Site for People with Medicare Visit the official Medicare website for current information regarding the Medicare Prescription Drug Benefit and information that will help you make a decision on your new Medicare coverage.
 

Programs From Multiple Sclerosis Drug Manufacturers

The following is a list of some drug manufacturers that offer financial assistance programs for people living with Multiple Sclerosis who cannot afford to buy the medications they have been prescribed. You are encouraged to call these manufacturers directly for more information on these programs. If you need financial assistance for a drug not listed here, please contact one of our pharmacists.
 

Drug Name	Manufacturer	Telephone Number
Avonex	Biogen Idec	800-456-2255
Rebif	Serono: MS Lifelines	877-447-3243
Betaseron	Berlex Laboratories	800-788-1467
Copaxone	Teva Neuroscience	800-887-8100
Novantrone	Serono: MS Lifelines	877-447-3243

For those of you who think they might have IBD, here is an article on it from the Cleveland Clinic Foundation.

Jean-Paul Achkar, M.D., Cleveland Clinic Foundation, Cleveland, Ohio

1. What is inflammatory bowel disease?

Inflammatory bowel disease (IBD) refers to two related but different diseases: ulcerative colitis and Crohn's disease. These diseases cause chronic inflammation of the intestinal tract, which leads to a variety of symptoms. The inflammation can also lead to involvement of organs other than the intestines. IBD is a lifelong disease with periods of active disease alternating with periods of disease control (remission). IBD is sometimes confused with but is different than irritable bowel syndrome.

There are more than 1 million people with IBD in the United States with new cases diagnosed at a rate of 10 cases per 100,000 people. These diseases account for 700,000 physician visits per year and 100,000 hospitalizations per year in the United States. Ulcerative colitis can be cured with surgery but Crohn's disease cannot be cured. There are good medical therapies available for both diseases.

2. Who gets IBD?

IBD is generally a disease of young people because it most commonly develops between the ages of 10 and 30. However, a second smaller peak of developing IBD is seen between ages of 50 and 60.

There are racial and ethnic differences in the risk for developing IBD. Whites have a higher risk of developing IBD than non-whites. Similarly persons of Jewish ethnic background have a higher risk of developing IBD than those of non-Jewish background. In addition, among persons of Jewish ethnic background, the risk of IBD is higher for those of Ashkenazi Jewish descent compared to those of Sephardic Jewish descent.

3. What causes IBD?

The exact cause of IBD is not known but is related to protective immune cells that are present in the lining of the intestines. This immune system normally turns on and off to fight harmful substances like bacteria and viruses that pass through intestines. In IBD it appears that there is an initial trigger such as an infection or something taken in from the diet or the surrounding environmental that activates the immune system. However, the difference in those who develop IBD is that the immune system does not turn off once this initial trigger is eliminated. This leads to uncontrolled inflammation and attack on normal intestinal cells. The exact contributions of such factors are poorly understood and are difficult to define.

The best-documented environmental factor associated with IBD is cigarette smoking. Smokers are more likely to develop Crohn's disease than non-smokers. In addition, among those with Crohn's disease, smokers tend to have a more aggressive form of disease than non-smokers. Interestingly, the opposite is true for ulcerative colitis, that is, smokers are less likely to develop ulcerative colitis and tend to have a less severe course than non-smokers. The exact effects of cigarette smoking on the intestinal tract and risk for IBD are not well understood.

Finally, there is a genetic (hereditary) risk of developing IBD: 10-20% of IBD patients have one or more other family members affected with IBD. The occurrence of Crohn's disease is increased among relatives of Crohn's disease patients while the occurrence of ulcerative colitis is increased among relatives of ulcerative colitis patients. Both diseases can also exist in the same family with one family member having ulcerative colitis and another family member having Crohn's disease.

4. What are the differences between ulcerative colitis and Crohn's disease?

In ulcerative colitis, inflammation occurs only in the large intestine (colon) and is limited to the inner lining of the intestinal wall. The inflammation nearly always starts in the lowest part of the colon (the rectum) and extends upwards in continuous pattern. The length of colon that is involved varies between patients. In some patients, the inflammation is confined to the rectum only, in others it extends part of the way up the colon, and in others it involves the entire colon. Because the inflammation is confined to the colon, ulcerative colitis is curable by surgical removal of the colon. Crohn's disease, on the other hand, can involve any part of the intestinal tract from the mouth to the anal area. The most commonly involved areas are the lower part of the small intestine (the ileum) and the colon. Unlike ulcerative colitis, "skip" lesions can be found in Crohn's disease- this means that there can be normal areas in between areas that are inflamed. In addition all layers of the intestinal wall can be involved which may lead to particular complications that are seen only in Crohn's disease including: 1. fistula- an abnormal connection between the intestine and other organs, 2. abscess- collection of pus, 3. stricture- an area of narrowing that can lead to intestinal blockage. Because Crohn's disease usually comes back after surgery, it is generally not curable.

5. What are the symptoms of IBD?

The most common symptoms seen in both ulcerative colitis and Crohn's disease are diarrhea, rectal bleeding, urgency to have bowel movements, abdominal cramps and pain, fever, and weight loss. In Crohn's disease, symptoms can result from complications of the disease. Fistulas can lead to openings in the skin and around the anal region that drain stool and infected material. An abscess can lead to symptoms of severe pain and fever. A stricture can lead to intestinal blockage with symptoms of filling up quickly after meals, nausea and vomiting.

In addition, organs other than the intestinal tract can be involved by the underlying inflammation of IBD. These organs include the eyes (symptoms of red eye or blurred vision), the mouth (symptoms of sores in the mouth), joints (symptoms of joint pain with or without joint swelling and redness), and skin (symptoms of rashes or skin ulcers most commonly involving the lower legs).

6. How is the diagnosis of IBD made?

The initial part of the evaluation of a patient with the above symptoms includes a full medical history and physical examination. Doctors collect information such as the details and duration of symptoms, whether there is a family history of IBD, and cigarette smoking history. Blood tests can help detect changes such as low red blood cell counts (anemia), high white blood cell counts (indicate inflammation or infection), and low nutrient levels. Stool samples are sometimes checked to rule out intestinal infections, which can lead to similar symptoms as those of IBD.

The most direct way to make a firm diagnosis of IBD involves the use of endoscopy (putting a tube with a light at the end into the intestines), biopsies, or special X-rays. With endoscopy, the lining of the intestinal tract can be directly seen by the doctor performing the procedure and biopsies can be obtained. Typical changes of IBD can be detected by endoscopy and by examining biopsies under a microscope. Picture 1 shows the appearance of a normal colon at endoscopy while Picture 2 shows an inflamed colon that is typical for the appearance of ulcerative colitis at endoscopy. Picture 3 shows ulcers in the intestine that are typical for Crohn's disease. Barium X-rays known as small bowel series are also commonly used to diagnose IBD. Patients drink barium (a white fluid), which allows doctors to take X-ray pictures of the small intestine and to look for changes typical of IBD. This test is particularly helpful in evaluating the small intestine, which is the part of the intestinal tract that cannot be fully examined with endoscopes. Another type of X-ray that is sometimes done in patients with IBD is a CAT scan, which is used to look for the presence of an abscess in the abdomen of patients with Crohn's disease. Capsule endoscopy is a newer test in which a pill is swallowed and then travels through the small intestine taking pictures that are transmitted to a recorder and later viewed on a computer. Recent studies indicate that capsule endoscopy is more sensitive for Crohn's in the small intestine than x-rays, but the role of capsule endoscopy in Crohn's disease is not yet identified.

7. What medications can be used to treat IBD?

Because ulcerative colitis and Crohn's disease are chronic illnesses, they often require long-term treatment with medications. In general there are two main goals of medical therapy for IBD: 1. Bring active disease under control (into remission), and 2. Keep the disease in remission. Fortunately, there are several good medical therapies available to treat IBD and the most commonly used drugs will be reviewed below.

Aminosalicylates:
These types of medications are among the most commonly used to treat IBD and include agents such as sulfasalazine (Azulfidine®) and mesalamine (Asacol®, Pentasa®, Colazal®). The active component of these medications is a compound named 5-aminosalicylic acid, which works to reduce inflammation in the intestinal wall. These compounds are prepared differently and based on this release 5-aminosalicylic acid in different parts of the intestinal tract. All the above preparations come as pills taken by mouth but there are also suppository and enema forms of mesalamine that are applied directly into the rectum and used to treat patients with inflammation in the bottom part of the colon.

These medications work well for mild to moderate ulcerative colitis and Crohn's disease affecting the colon. They are not as effective for Crohn's inflammation of the small intestine or for more severe IBD. When effective, they work both to bring active disease under control and to maintain disease in remission. They are generally well tolerated with minimal side effects.

Steroids:
Steroids such as prednisone and methylprednisolone are commonly used to treat patients with both ulcerative colitis and Crohn's disease. These particular types of steroids are called glucocorticoids and work as anti-inflammatory agents. They are different from anabolic steroids, which are known for their use by body builders and athletes.

The main role of these medications in IBD is to bring the disease into remission. For patients whose disease seems to require repeated or chronic steroid courses, other medical treatment options described below are available and should be pursued (see discussion of side effects below). Most commonly these medications are given orally. However, in moderate to severe cases of IBD, patients are brought into the hospital and intravenous steroids are used to bring the disease under control. There are also enema and suppository preparations of steroids available.

There are multiple possible side effects from steroids most of which are more likely to develop with higher doses and longer duration of therapy. Early side effects can include mood changes, irritability, difficulty sleeping, increased appetite, and increased blood sugar levels. Side effects associated with long-term use include osteoporosis (weakening of the bones), cataracts, acne, development of a fatty hump at the base of the neck, and a rounded/swollen appearance to the face (moon facies). Although there are possible side effects from these types of steroids, they remain an important part of the medical management of inflammatory bowel disease. With appropriate dosing and tapering regimens, most patients tolerate steroids well.

More recently a new steroid preparation named budesonide (Entocort®) has been made available in the United States for treatment of Crohn's disease. This steroid is specifically designed to release in the intestines with very little of it reaching the bloodstream. Because of this, budesonide has less in terms of side effects when compared to conventional steroids. In its current formulation, this agent works mostly in treating inflammation in the bottom part of the small intestine (the ileum) and the right part of the colon.

6-Mercaptopurine and Azathioprine:
6-mercaptopurine (Purinethol®) and azathioprine (Imuran®) work to decrease the activity of the immune system, which then leads to reduced inflammation in the intestines. They are used both in ulcerative colitis and Crohn's disease to bring active disease under control and to maintain disease in remission. They are given orally as pills.

These agents may take a few weeks to months to take their full effect, so other medications such as steroids are sometimes needed on a short-term basis to keep disease under control when starting 6-mercaptopurine or azathioprine. These medications have less long-term side effects than steroids. Approximately 5-10% of patients cannot tolerate these medications due to side effects such as allergic reactions, pancreatitis (inflammation of the pancreas), and abnormal liver tests. Because these medications affect the immune system, patients have a higher risk of developing infections. Therefore, it is recommended that blood counts be monitored on a frequent and regular basis when on these medications.

Methotrexate:
Methotrexate is another medication that works to decrease the activity of the immune system. It is used in Crohn's disease both to bring disease into remission and to maintain remission. There have been some reports of methotrexate for treatment of ulcerative colitis but there are no controlled studies that have shown a benefit. Methotrexate can be given either as pills or as an injection under the skin or into the muscle, but the studies that have shown that it works in IBD have used the injection approach. A vitamin named folate (or folic acid) should be given with methotrexate to decrease some of the side effects. Potential side effects and risks include nausea, vomiting, infections, bone marrow suppression, liver inflammation, and rarely scarring in the lungs. Methotrexate is also known to cause birth defects and therefore should not be used in either males or females who are trying to have a baby.

Infliximab:
Infliximab (Remicade®) may be used in moderate to severe Crohn's disease. It is a medication that is given intravenously and works on reducing intestinal inflammation by blocking a part of the immune system know as TNF (tumor necrosis factor). A single infusion or a short series of three infusions have been shown to bring inflammation into remission and to allow closure of fistulas. The benefit may last approximately two months. However, recent studies have shown that repeated infusions of infliximab over a one-year period are generally well tolerated and can maintain remission. Side effects of this agent include infusion reactions, which are usually mild, and infections. Occasionally the infections are quite serious.

8. When is surgery indicated for IBD?

For ulcerative colitis, there are two main indications for surgery: 1. Lack of response or intolerance to medications, and 2. Precancerous or cancerous changes in the colon. Patients with ulcerative colitis have a higher risk of developing colon cancer so careful monitoring of the colon by colonoscopy is recommended in those who have had the disease for many years. As previously discussed, surgery allows for a cure in ulcerative colitis. However, removal of the colon used to mean that patients would have to have a permanent stoma (wearing an external bag to drain stool). Currently, a procedure known as the pouch procedure can be done in most patients with ulcerative colitis and this prevents the need for a permanent stoma. In this type of surgery, the colon is removed, a reservoir is created out of the lower part of the small intestine (the ileum), and the reservoir is connected to the anal region.

For Crohn's disease, indications for surgery include lack of response or intolerance to medications and complications of Crohn's such as a fistula, an abscess, or a stricture. Up to 70% of patients with Crohn's disease require surgery at some point in the course of their disease. The risk of having Crohn's disease return after surgery is approximately 70-85% within 10-15 years after surgery. There is growing evidence that medications can be used to decrease the risk of Crohn's returning following surgery.

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Figure 3

RIte Care is Rhode Island’s Medicaid managed care program for families on the RI Works  Program and eligible uninsured pregnant women, children, and parents. Members enroll in a participating health plan:  UnitedHealthcare of New England or Neighborhood Health Plan of RI.

Eligibility

Eligibility is based on income and family size.

• Pregnant women (family's income less than 250 percent of the Federal Poverty Level- FPL)
• Children up to age 19 (family's income less than 250 percent of the FPL)
• Parents with children under age 18  (family's income less than 175 percent of the FPL)

Cost

Members whose family’s income is less than 150 percent of the FPL do not pay a monthly premium. Members whose family’s income is more than 150 percent of the FPL pay a monthly premium of either $61, $77 or $92 per month (see fact sheet below).

How to Apply

Complete an application and send it by mail to the local DHS office that serves your town or city. Please include the necessary copies of documents that are requested. Need help completing the application? Visit a Family Resource Counselor  near you or call the DHS Info Line at (401) 462-5300.

• RIte Care/RIte Share Application and Instructions

For More Information

• DHS Info Line  (401) 462-5300
• UnitedHealthcare of New England  1-800-587-5187  www.uhcmedicaid.com
• Neighborhood Health Plan of Rhode Island  1-800-459-6019  www.nhpri.org
• RIte Care/RIte Share Fact Sheet (English)    (Spanish)    (Portuguese)
• RIPTA Bus Passes

LINKS

• Premium Payments- Options for Paying
• Federal Citizenship and Identity Requirements

Helping you get the medicines you need.

The AZ&Me™ Prescription Savings program for people without insurance is designed to provide AstraZeneca medicines at no cost to qualified patients. This patient prescription assistance program can help patients who do not have prescription drug coverage and who meet other eligibility criteria.

Highlights

• AstraZeneca medicines provided at no cost
• There is NO cost to sign up for the program
• Once accepted, you remain enrolled for up to one year. At the end of that year you can reapply.
• Mailed to the home or physician’s office
• You or your doctor can request refills.
• Review the list of medicines available through this program.
• Convenient online self-service tool to enroll, re-enroll, check enrollment or shipment status or to request a refill

Are you eligible?

You may be eligible if you meet the following criteria:

• You have an annual household income* at or below:
  $30,000 for a single person
  $40,000 for a family of two
  $50,000 for a family of three
  $60,000 for a family of four
  $70,000 for a family of five
  * Income limits might be higher in Alaska and Hawaii.
• You do not receive prescription drug coverage under any private insurance or any other coverage that provides assistance to help pay for medicines, such as:
  • Employer furnished or private prescription drug coverage
  • VA or Military Benefits
  • Medicaid
  • Medicare Part A
  • Medicare Part B (covers some injectable medicines)
  • Medicare Part D*
  • State assistance program for medicines (SPAP, SCHIP, PACE, etc.)
    * Individuals enrolled in Medicare Part D may be eligible for the AZ&Me™ Prescription Savings program for people with Medicare Part D

What if you are enrolled in Medicare and Qualify for the Limited Income Subsidy?

Patients who are in Medicare and may be eligible for the Limited Income Subsidy (“LIS”) can apply to the AZ&Me™ Prescription Savings program for people without insurance.

• When you apply to this program, you will receive information and one-on-one education designed to help with the LIS application process.
• During the processing of your LIS application, you may be temporarily enrolled in the AZ&Me Prescription Savings Program. This means you could receive your AstraZeneca medicine(s) from the Program while you wait for your LIS application results.
• Once the Social Security Administration confirms that you have qualified for the LIS, you are no longer eligible for the AZ&Me Prescription Savings program because you will have access to affordable, comprehensive coverage. You will no longer receive AstraZeneca medicines through the AZ&Me Prescription Savings Program.
• If the Social Security Administration denies your application for LIS, our assistance specialists can help you complete the enrollment process for the AZ&Me Prescription Savings program for people without insurance, so you can continue receiving your AstraZeneca medicine(s).  

What if you do not qualify for the Limited Income Subsidy and are not enrolled in Medicare Part D?

• You may apply to the AZ&Me Prescription Savings program for people without insurance and get one-on-one support to help you identify and access health and prescription drug coverage and services for which you may qualify.
• If you have not enrolled in a Medicare Part D plan, and if you meet the other eligibility criteria, you may be eligible for the AZ&Me Prescription Savings program for people without insurance. 

How to apply

The AZ&Me Prescription Savings program for people without insurance offers an easy application process that can help you receive your AstraZeneca medicines quickly.  

To apply to the Program:

1.  Download the application ( In English | En Español), click here to enroll online, or call 1-800-AZandMe (292-6363). Have your doctor's office help you complete the appropriate sections of the application. 
2. Include the required financial information* and your signature.
   * Acceptable forms for financial documentation include a copy of last year’s federal income tax returns for yourself, your spouse and dependents, a Social Security Benefit Verification Statement or all income statements from jobs (W-2 or 1099)
3. If you are not a US citizen, you must also provide a valid US Green Card number or a confirmation letter from the government stating that you have applied for a US Green Card or a Work Visa number.
4. Include a valid prescription for your AstraZeneca medicine(s) from your doctor.
5. Mail the completed application, financial information, and prescription(s) to:
   AZ&Me Prescription Savings Programs
   PO Box 66551
   St. Louis, MO 63166-6551
   OR
   Fax: 1-800-961-8323
6. If you have questions about the application process, or to learn more about whether or not you or a family member may qualify for this program, call 1-800-AZandMe (292-6363), Monday through Friday, 8:00 AM TO 6:00 PM EST.  

AZ&Me Prescriptions Savings program for people without insurance medicine list

These are the medicines you may access through the AZ&Me Prescription Savings program for people without insurance. Click on a medicine name for more details, to access the product web site, or to read the full prescribing information.

Medicine name	Strength
Cardiovascular and Metabolic
ATACAND® (candesartan cilexetil)	4 mg, 8 mg, 16 mg, 32 mg
ATACAND HCT® (candesartan cilexetil-hydrochlorothiazide)	16/12.5 mg, 32/12.5 mg, 32/25 mg
CRESTOR® (rosuvastatin calcium)	5 mg, 10 mg, 20 mg, 40 mg
TOPROL-XL® (metoprolol succinate)	25 mg, 50 mg, 100 mg, 200 mg
Infection
MERREM® I.V. (meropenem for injection)	.5 g/20 ml, 1 g/30 ml
Gastrointestinal
NEXIUM® (esomeprazole magnesium)	20 mg, 40 mg
NEXIUM® (esomeprazole magnesium) For Oral Suspension	10 mg, 40 mg
NEXIUM® I.V. (esomeprazole sodium) Injection	20 mg, 40 mg
Neuroscience
SEROQUEL® (quetiapine fumarate)	25 mg, 50 mg, 100 mg, 200 mg, 300 mg, 400 mg
SEROQUEL XR® (quetiapine fumarate)	50 mg, 150 mg, 200 mg, 300 mg, 400 mg
VIMOVO™ (naproxen and esomeprazole magnesium) Delayed-Release Tablets	375/20 mg, 500/20 mg
ZOMIG-ZMT® (zolmitriptan) Orally Disintegrating Tablets	2.5 mg, 5.0 mg
ZOMIG® (zolmitriptan) Nasal Spray	5 mg
ZOMIG® (zolmitriptan) Tablets	2.5 mg, 5.0 mg
Oncology
ARIMIDEX® (anastrozole) Tablets	1 mg
FASLODEX® (fulvestrant) Injection	50 mg/ml
ZOLADEX® (goserelin acetate implant)	3.6 mg 1-month Depot
ZOLADEX® (goserelin acetate implant)	10.8 mg 3-month Depot
Respiratory
ACCOLATE® (zafirlukast) Tablets	10 mg, 20 mg
PULMICORT FLEXHALER™ (budesonide inhalation powder, 90 mcg & 180 mcg)	90 mcg, 180 mcg
PULMICORT RESPULES® (budesonide inhalation suspension)	0.25 mg/2 ml, 0.5 mg/2 ml, 1 mg/2 ml
RHINOCORT AQUA® (budesonide) Nasal Spray	32 mcg
SYMBICORT® (budesonide/formoterol fumarate dihydrate)	80/4.5 mcg, 160/4.5 mcg
For ATACAND, ATACAND HCT, SEROQUEL, SEROQUEL XR, SYMBICORT and TOPROL-XL, please note boxed WARNING.

If you are seeking assistance for ONGLYZA™ (saxagliptin) please contact the BMS Patient Assistance Foundation at 1 (800) 736-0003 for help or visit their web site www.bmspaf.org for Program information or an application. Please note that the AZ&Me™ Prescription Savings Programs may have different eligibility requirements than the BMS Patient Assistance Foundation Program. 

Ordering Program Materials

For Healthcare Professionals that would like to order program materials, please call
1-800-AZandMe (292-6363). Please note that the minimum order quantity is 25.

Learn about other assistance programs

In addition to the programs offered by AstraZeneca, other organizations also offer programs that make medicines affordable for people who need assistance. Learn more about additional programs offered by AstraZeneca and other organizations.

The Department provides medical assistance to low income persons and people who could otherwise support themselves if not for the fact that they have excessive health care costs.  Assistance is provided through a variety of programs and administrative functions.  To learn more about Connecticut’s Medical Assistance Program go to: Connecticut Medical Assistance Program

Information for health care providers enrolled or interested in more detailed information regarding the Connecticut Medical Assistance Program can be found at:  Connecticut Medical Assistance Program

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 Medicaid for the Employed Disabled

Medicaid

The Medicaid program provides for remedial, preventive, and long term medical care for income eligible aged, blind or disabled individuals, and families with children. Payment is made directly to health care providers, by the department, for services delivered to eligible individuals. The program complies with federal Medicaid law (Title XIX of the Social Security Act) and regulations in order to receive 50% reimbursement from the federal government.

Individuals may meet Medicaid eligibility requirements in a number of ways. Individuals or families who meet the income and asset eligibility criteria in effect for Aid To Families with Dependent Children (AFDC) on July 16, 1996 or the State Supplement program are eligible for Medicaid. In addition, individuals who meet all the eligibility requirements, with the exception of income, may be eligible if the amount of medical expenses owed is greater than the amount by which their income exceeds the established income standards. Children born after Sept. 30, 1980 whose family income is less than 185% of the poverty level, and pregnant women whose income is less than 185% of the poverty level are also eligible.

The Medicaid program objectives are supported by certain key services provided to recipients: HealthTrack provides education regarding access to health care for Medicaid recipients under 21 eligible for Medicaid. "Home and community-based care" waivers allow for the provision of certain non-medical services in order to avoid more costly institutionalization of individuals. The department is also working with schools to expand the availability and accessibility of school-based medical care for Medicaid eligible students.

If you are enrolled in the Title XIX Medicaid program and need to locate a provider click on the link: Title XIX Providers

For other help with prescription drug costs, try:

• Medicine Program, The
• Pharmaceutical Research and Manufacturers of America (PhRMA)

Download the Medicaid Brochure

 

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• In Brief:  New Medicaid Coverage for Low-Income Adults
• More information on Medicaid for Low-Income Adults

Please follow this link to view a page on getting durable medical equipment through the Medicaid Program: Durable Medical Equipment

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Connecticut Insurance Assistance Program for AIDS Patients (CIAPAP)

This program assists individuals who are unable to continue working and risk losing group medical insurance because of AIDS or an AIDS-related disease. Medical insurance premiums premiums are paid on behalf of eligible individuals who qualify for and who elect to continue their group medical insurance coverage for the time period allowed under state or federal law.

Download the CIAPAP Brochure

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Connecticut Aids Drug Assistance (CADAP)

This program pays for drugs determined by the U.S. Food and Drug Administration to prolong the life of people with AIDS, or HIV infection. To be eligible for the program in Connecticut, an individual must have a physician certification that the individual has HIV infection, HIV disease or AIDS, must not be a recipient of Medicaid, and must have net countable income within 400% of the Federal Poverty Level. In addition, the individual must apply for Medicaid within two weeks of approval for this program.

The department receives federal funding for the program under Ryan White Title II grants that are awarded to the Department of Public Health. 

View the CADAP Application and a current list of Approved Drugs on our Publications page 

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Healthy Start

Under this program, grants are made to hospitals, clinics, departments of health and other organizations to expand and enhance health services to low income pregnant women and children, and to assist women in obtaining Medicaid coverage for themselves and their children. Healthy Start contracts are jointly administered by the Department of Social Services and the Department of Public Health and Addiction Services.

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HUSKY (Healthcare for UninSured Kids and Youth)

Health coverage for all children and teenagers under age 19, eligible pregnant women and eligible parents and relative caregivers.

Please follow this link to see the HUSKY Health Care website : HUSKY Health Care

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Connecticut Home Care Program (CHCPE)

The Connecticut Home Care Program is a state and federally funded program that provides an array of home care services.  The program helps eligible Connecticut residents remain at home instead of prematurely going to a nursing facility.  Depending on the eligible person's health and living circumstances, the services offered may include home health services, homemaker services, visiting nurse services, adult day center services, adult foster care services, chore services, care management, home delivered meals, companion services, emergency response system, minor home modification depending upon availability of funds and assisted living services in approved managed residential communities (MRC).

Please follow this link to go to the CHCPE website: CHCPE

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ConnPACE 

(Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled)

ConnPACE is an outstanding service that helps eligible senior citizens and
people with disabilities afford the cost of most prescription medicines. 

If you are a Connecticut resident aged 65 or older, or with a disability aged
18 or older, you may qualify for ConnPACE. Please check our new,
higher income eligibility levels, which are helping many more people join
ConnPACE. 

Besides covering most prescriptions, ConnPACE pays for insulin and
insulin syringes and needles. 

Please click here to go to the ConnPACE website. 

The ConnPACE Application can be found on our Publications page

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ConnMAP

The Connecticut Medicare Assignment Program (ConnMAP) ensures that eligible Medicare enrollees are charged no more than the reasonable and necessary rate established by the federal government for Medicare covered services received from health care providers.

Individuals who are residents of Connecticut, enrolled in Medicare Part B, and have incomes no greater than 165% of the income limits for the Connecticut Pharmaceutical Assistance (ConnPACE) Program (currently $41,415 if single or $55,770 for couples) are eligible to participate in the program. ConnPACE program participants are automatically eligible for ConnMAP.

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Refugee Medical Assistance

The refugee medical assistance program provides medical assistance to needy individuals, families and children designated as refugees under Immigration and Naturalization Service regulations who are not eligible to receive benefits from any other public assistance program. Benefits continue for a maximum of eight months beginning with the month of entry into the United States. Benefits are the same as in the Medicaid program, and are 100% federally funded.

Please follow this link for more information: The General Assistance and Refugee Team

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Certificate of Need

The department is the certificate of need authority for Connecticut for nursing homes and home health agencies.

See the Certificate of Need and Rate Setting Division page for more information.

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Rate Setting

The department sets rates that can be charged by hospitals, home health agencies, nursing homes and licensed boarding homes.

See the Certificate of Need and Rate Setting Division for more information.

The Marian Clinic at 1001 SW Garfield, Topeka (click here for map) delivers general medical and mental health care, health education, medications, and limited medical supplies and equipment, all on-site, with referrals and hospitalization off-site as needed for specialists' consultations and treatment. Only patients who have passed our eligibility screening may receive treatment. The requirements are slightly different for medical care and dental care. (click here for Eligibility Requirements).

Over 200 volunteer doctors, two local hospitals, and numerous medical and social support groups in the community make this quality care possible!

At Marian Clinic we understand that stress, psychological problems, and life circumstances can impact one's health. In turn, physical ailments can impact one's mental well-being. Treating both together makes a successful outcome much more likely. Our mental health program provides diagnosis, counseling, and medications for individuals with these needs, while our case management team addresses the circumstances of our patients, partnering with many other social and support organizations to help restore health and lives.

Our medication assistance program means that medications supplied on site are free to patients (written prescriptions are the patient's responsibility.)

The Clinic's women's health program provides health screenings and supportive services for the unique needs of women. Contraceptives and obstetrical services are not available.

Unfortunately, most people without insurance tend to wait until they are seriously ill before seeking treatment. Such delays make treatment and recovery more difficult and more expensive. We encourage prospective patients to seek help early in order to interrupt this cycle.

Location and Hours

Our Medical Clinic is located at 1001 SW Garfield (the corner of 10thand Garfield) in Central Topeka, one block west of the Topeka/Shawnee County Public Library on Tenth Street. (Click here for map.)

The Clinic is conveniently located on a bus route. Hours are 8:30 a.m. - 4:30 p.m. Monday through Thursday and 8:30 a.m. to 3:30 p.m. on Fridays. The Clinic is closed from noon to 1:00 p.m.

Cost

Once a medical patient qualifies for services, there is a $15 charge for each appointment with a clinician. However no one is turned away for an inability to pay. Medications supplied at the Clinic are free, however prescriptions written at the Clinic are the patient's own responsibility to fill.

Eligibility to receive treatment at the Medical Clinic

Call 233-8081, ext 340 to determine if you are eligible for medical services, or click here for more information.

Existing Patients Only: Click here for Medication Refills