Discount Program

To qualify for the discount program, you must have a total family income that is less than 200% of the Federal Poverty Income Guidelines. To assist us in assessing your eligibility for the program, you will need to provide the following required documents at your initial member registration: proof of identification, income, and residency as described below. We use an income sliding fee scale set by the Health and Human Services Commission to determine the percentage amount to be discounted for our services.

Family Size
Total Family Income
From
To
1
$0
$21,780
2
$0
$29,420
3
$0
$37,060
4
$0
$44,700
5
$0
$52,340
6
$0
$59,980
7
$0
$67,620
8
$0
$75,260
9
$0
$82,900
10
$0
$90,540
11
$0
$98,180
12
$0
$105,820
13
$0
$113,460
14
$0
$121,160
15
$0
$128,800

(1) Proof of Identification:

(a) For Adults, one identification is required with a picture ID: Current Driver's License, Texas Identification card, Legal Resident documents, Passport, or Consulate card

(b) If no picture ID bring 2 of the following: Birth Certificate, Social Security card, voter registration card, school record Marriage license, or Selective Service Card, etc.

(c) For Children: Birth certificate and social security card (if applicable), Verification of Birth Facts from Hospital, or immunization record

(2) Proof of income (as applicable)

(a) Earned income: Copy of most recent paycheck stubs within 30 days, Tax return, or Statement from employer with company's information

(b) Unearned income: Recent TANF letter from Texas Department of Human Services, Social Security Administration and/or Social Security Supplement Child support award letter from Attorney General, Retirement Pension award letter, Veteran's pension letter, or Unemployment award letter from Texas Workforce Commission

(c) Self-employment: Self-employment declaration forms/letter last 2 months or 1040 Income Tax forms with W2 form

(3) Proof of Residency: Utility bills (for example telephone bill, electric bill, etc.), Food stamp letter, mail received by applicant, or Lease from dwelling (house, apartment, etc.).

If members wish to maintain eligibility under the "discount program," the eligibility information must be updated every year or whenever there are changes in household size, household income or if someone in the household obtains or loses medical coverage. If the eligibility information is not updated, your account will be charged at the full fee.