Jefferson County
Public Health Department

Dr. Cecil Walkes, County Health Authority
Wayne Morris, Administrative Director

Jefferson County Public Health Department
Unit #1
1295 Pearl
Beaumont, TX 77701
(409) 835-8530
Jefferson County Public Health Department
Unit #2
246 Dallas
Port Arthur, TX 77640
(409) 983-8380

8:00 am - 5:00 pm MONDAY - FRIDAY


IHC Application
(Each IHC application must be submitted in person or mailed to one of the addresses listed above.)

Eligibility Requirements:
	ballCounty Resident 
	ballIncome - Resources
	ballHousehold Composition

Services:
	ballPhysician's Services 
	ballInpatient/Outpatient Hospital	Care
	ball3 Presciptions per Month
	ballSkilled Nursing Facilities
	ballFamily Planning Services
	ballLab & X-Ray Services

ALL SERVICES MUST BE MEDICALLY NECESSARY

Information needed to Apply:
	Social Security Cards for all members of the household
	ballProof of Identification
	ballProof of all household income
	ballProof of Residency
	ballProof of Resources: checking/savings account statement; 
	  tax statements for real estate, vehicles, boats, trailers

All changes must be reported within 14 days

You Have The Right To:
	Obtain an application
	ballHave assistance in preparing forms
	ballEligibility determined within 14 days after completion of
	  application
	ballWritten notification of determination
	ballAppeal of denial of acceptance
	ballSubmit an application anytime
	ballEqual treatment regardless of race color, religion, sex, age,
	  national origin, political or handicapped  

YOU MAY NOT BE ELIGIBLE IF YOU TRANSFER
OWNERSHIP OF PROPERTY JUST TO MAKE YOURSELF
ELIGIBLE FOR ASSISTANCE


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