Eligibility
Hope Medical ∙ Dental Clinic, Inc Services are free to adults residing in the state of Delaware, meeting the current requirements of eligibility. The clinic sees patients (uninsured or under insured) with an income at or below 212% of the Federal Income Poverty Level.
*Family Size FPL Guidlines 2023
100%
225%
300%
1
$14,580
$32,805
$43,740
2
$19,720
$44,370
$59,160
3
$24,860
$55,935
$74,580
4
$30,000
$67,500
$90,000
5
$35,140
$79,065
$105,420
6
$40,280
$90,630
$120,840
7
$45,420
$102,195
$136,260
8
$50,560
$113,760
$151,680
Please Provide the Following Information for
Eligibility Verification:
MUST HAVE
-
Photo ID and Proof of Current Address (Utility or Phone Bill or Lease with Current Address).
-
Recent Medicaid card or Denial Letter from Medicaid
-
One month of pay stubs or bank statement
AND
TWO OR MORE
-
Pay Stub
-
Unemployment Letter and Proof of Allotment
-
Child Support Letter and Proof of Allotment
-
Disability Letter and Proof of Allowance
-
Most recent Income Tax Return (IRS 1040) or Proof You Did Not File
Your First Appointment:
Please arrive 15 minutes early with the following information:
-
Photo ID and proof of current address (utility or phone bill, or lease with current address).
-
Denial letter from Medicaid.
-
If you’re working, please bring your current pay stub.
-
If you’re married, please also bring your spouse’s pay stub.
-
If you receive unemployment, or SSI, please bring in documents to show how much you receive.
-
If you’re not working, please bring a letter from the person who is taking care of you financially.
Appointment Cancellation:
-
Call 24 hours in advance.
-
3 “No Shows” a year leaves you ineligible for services for 6 months.
The Providers want to take care of you,
so please be on time or call us if you’re running late.
Eligibility differs for the Medical and Dental clinics
Eligibility will be re-evaluated frequently
For more information, please contact us