Eligibility

  • To receive services at St. Verena Clinic, low-income, uninsured individuals and families must first complete an eligibility interview. 
  • Medicaid, Medicare, Affordable Care Act plans are also considered different types of health insurance coverage. 
  • Those that qualify for services will receive a patient account, providing them access to services.
Eligibility is temporarily done by San José Clinic. To access the eligibility application, click here.

Due to COVID-19, eligibility can be done over the phone with information faxed or emailed to our eligibility department.

Please, fax your paperwork to 
713-490-2644
or email it to 
patientaccess@sanjoseclinic.org. Someone will get back to you within
1 business day.

If you are not able to fax or send your paperwork electronically, please call our eligibility department at
713-490-2610.

Required documents:

1. Photo Identification

Please bring only one of the following for each adult:

    • State Driver’s License or Identification Card (current or expired)

    • Passport or Visa

    • U.S. Immigration documents

    • Student or work ID*

    • Photo ID from another country

    • Other forms of photo identification*

*If a non-government issued ID is provided, another form of ID will need to be provided (such as birth certificate, marriage license, social security card, etc.)

Please bring all of the following for each child:

    • Birth Certificate or Birth Fact Record

    • Medicaid or CHIP ID cards

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2. Proof of Household Income

Please bring all documents that you have.

    • One month’s worth of recent pay stubs. If you do not receive paystubs, a completed wage verification letter from employer will be accepted.

    • Most recent tax returns

    • Letter of support

    • Welfare benefit documents (TANF and Food Stamps)

    • SSI or Social Security certification documents

    • Unemployment documents / Worker’s compensation

    • Child support documents

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3. Proof of Address

Any piece of mail that is delivered through the Postal Service with the patient’s name and address.

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Please, feel free to call 713-490-2610 if you have any questions.

eligibility application