If you have any questions or concerns, give us a call at (713) 778-1300 or send us a message.

To determine your eligibility for possible sliding fee discounts and health care programs, St. Hope requests that you bring the following information in order to complete the program registration process.

For insured patients, please bring the following items:

1. Photo ID – Any type of identification with your picture and name. Common examples include a driver’s license, a state-issued ID, school ID, or work ID.
2. Proof of Insurance – A copy of your current insurance card.

For uninsured patients, please bring the following items:

1. Photo ID – Any type of identification with your picture and name. Common examples include a driver’s license, a state-issued ID, school ID, or work ID.
2. Proof of Address – Examples include a utility bill (cable bill, cell phone bill, etc.), voter registration card, a copy of lease agreement or piece of postmarked mail.
3. Proof of Income dated within the last 30 days – Proof of income documents must show all household income, including earned and unearned income within the last 30 days. Examples: Recent paycheck stubs showing the amount paid before any taxes, proof of earned Income – deductions (gross pay) or proof of self-employment, such as logs/records of earnings or a recent W2. If unable to obtain a paycheck stub or if paid in cash or by personal check before tax deduction, a letter from your employer is acceptable, including date, the amount paid, pay frequency, and contact information.Examples: Social Security statement, Child Support statement, Retiree/Pension/Financial Aid statement, Proof of Unearned Income, or Unemployment benefits statement
4. Letter of Support (for currently unemployed patients)
   If you are currently unemployed and have not received income within the past 30 days, we will accept a letter of support from the person who is helping you meet your financial needs. The letter should include:
5. Date
6. The type of assistance you are receiving. If monetary value is given (cash on hand), it must be listed in the letter. We’ll also need the contact information and signature of the person providing you with the assistance. The letter can also be from an organization, church, or agency that is assisting you
7. Savings/Checking account statement(s) will only be accepted if all of the following criteria are met:
8. You are currently unemployed and have not received any income within the past 30 days
9. No one is helping you meet your financial needs
10. You are living off of the money in your bank account. A tax return for the most recent year will only be accepted if you are unable to provide any of the documents listed above.

The 2023 Poverty Guidelines — used to determine financial eligibility — have been posted by the U.S. Department of Health and Human Services (https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines). The following guideline figures represent annual income.

Please see the table below for 2023 Poverty Guidelines for the 48 Contiguous States and the District of Columbia.

The poverty level for a family of four has increased from $27,750 to $30,000. The entire chart is shown below. The 2023 Percentage of Poverty Level Formula: (Income/(8870+5140*Family Size))*100. 

CPCDMS has now been updated to reflect these changes.

For families/households with more than 8 persons, add $5,140 for each additional person.