Eligibility
Eligibility for Care Clinic services is based on income and whether you live or work in Summit County.
Care Cards: Those who are eligible to receive Clinic services receive "Care Cards". Application forms for Care Cards must be submitted to the Clinic with appropriate documentation in order for eligibility to be determined.
When to submit your Care Card application: Applications for Care Cards are accepted on a first come, first served basis on Mondays, Tuesdays, Thursdays and Fridays from 8am - 11am, and on Wednesdays from 9am - 11am. Applicants meet privately with the Patient Access Representative to receive their eligibility determination.
Eligibility Requirements to Obtain a Care Card
- Patient must live or work in Summit County. Please provide one of the following:
- Proof of residency. Any of the following items are acceptable: Colorado Driver's License with a Summit County address, utility bill (XCEL, cell phone, cable, renter's or homeowner insurance), lease, letter from landlord, or vehicle registration.
- Proof of Employment. Either of the following items are acceptable: Paystubs or letter from employer on company letterhead.
- Identification. For identification purposes, please provide one of the following for each family member: Colorado ID Card, US or Foreign Passport, other State ID card, ID from another Country, birth certificate, Medicaid Card.
- Patient must be uninsured or underinsured. If patient is underinsured, a copy of the health insurance card and the policy is required. (If 1 person household has an insurance deductible of $2000 or more; if more than 1 person in the household is insured, pro-rate the deductible for working members of the household. You may be eligible if you have insurance with a high deductible. You must present a copy of your health insurance card and your written policy information. No exceptions.
- Proof of Income. To prove income for all household members interested in the Care Card, one or more of the following are needed:
- 4 most recent and consecutive paystubs.
- If applicant does not have 4 recent and consecutive pay stubs, we require a letter from employer on company letterhead stating gross monthly income or hourly rate with average hours worked per week.
- Tax return for the most recent year that taxes were filed and that correctly represents their income today.
- Last 3 months of bank statements (savings and checking).
- Evidence of monthly household expenses and assets. FOR EXAMPLE: rent or mortgage receipt, utilities (telephone/cable bill), car insurance or loan payment, etc.
- List of property that you own, house, car, etc.
- Proof of all other sources of income (child support, TANF, and food stamps), Supplemental Security Income, Social Security, Disability, Unemployment, Income from rental properties, financial assistance from family members, etc.
- SELF-EMPLOYED applicants must provide a current tax return and a list of all assets and expenses (Examples of assets are your house, your car, all bank accounts, and any other property or business that you own. You must also provide evidence of monthly household expenses i.e. rent or mortgage receipt, utilities, telephone/cable, car insurance or car loan payment other property or business that you own, etc.)
- UNEMPLOYED applicants must provide 3 months of bank statements (checking and savings) as well as a list of all assets and expenses (Examples of assets are your house, your car, and any other property or business that you own. You must also provide evidence of monthly household expenses i.e. rent or mortgage receipt, utilities, telephone/cable, car insurance or car loan payment other property or business that you own, etc.)
Questions?
If you have any questions regarding eligibility, or if you are missing the required documentation, call Sole at (970) 668-6681 or email her at shardoy@summitclinic.org.