Healthier Texas Ladies. Mail or Fax The Application

Healthier Texas Ladies. Mail or Fax The Application

Just how to Apply?

Apply On The Web

To make use of, you are able to fill the application out online here en Espanol or visit As soon as prepared, we will require evidence of:

  • Your identification.
  • The funds you make.
  • The funds you may spend on kid care and youngster help.
  • Your citizenship and immigration status.

Take note: This online application works on desktop computers, yet not on smart phones or pills. If you use one of these simple products, other application options are the following.

You’ll install the proper execution en Espanol, fill it down by hand, and mail it or fax it to us at:

Healthier Texas Ladies P.O. Box 149021 Austin, TX 78714-9021 Fax (toll-free) 1-866-993-9971

You a letter asking for proof of your identity; the money you make; the amount of money you spend on child care or child support; and your citizenship or immigration status after we receive your form, we’ll send. Samples of evidence are down the page.

Apply Face-to-face. Types of Proof We Want

You can use at a hospital that provides Healthy Texas Women solutions. Fill in the shape in the center and you also might get solutions the day that is same. You’ll find a participating clinic using the discover a health care provider device to your right.

Get a software kind at a Women, Infants and kids (WIC) Nutrition Program workplace. Call 1-800-942-3678 (toll-free) to get a WIC workplace.

You’ll submit an application for Healthy Texas Women on the phone by calling 2-1-1. We could simply take your call from 8 a.m. To 6 p.m. Central Time, to Friday monday.

Proof showing just just how money that is much get:

  • Paycheck stub or copy of the check through the final 60 times.
  • Types that some body in your loved ones is in a advantages system:
    • Your Texas Benefits Medicaid ID card for starters of the young ones.
    • WIC verification of official certification ( this shows you’re in the WIC program).
    • WIC voucher.
    • WIC / Lone celebrity Card grocery list.
  • A page from a boss.
  • Court documents that demonstrate you will get kid help.
  • Unemployment benefit award letter or pay stubs.
  • Supplemental safety Income letter that is award pay stubs.

Proof showing exactly how much you spend:

  • Receipts or earnings tax statements that demonstrate everything you buy daycare expenses.
  • Court documents, canceled checks, wage withholding statements that reveal just how much you buy kid help.

Proof showing your citizenship and identification:

  • A U.S. Passport.
  • A certification of naturalization.
  • A certification of U.S. Citizenship.
  • The 3 products above prove both citizenship and and citizenship

Evidence of Citizenship

Evidence of Identity

U.S. Delivery certification

Present license with picture

U.S. Resident ID card

DPS ID card with picture (as an example: Texas ID card)

Hospital record of delivery

School or work ID card with picture

North Mariana ID card

American Indian card with classification code KIC

Spiritual record of birth with place and date of birth, such as for example baptism record

Affidavit from 2 grownups developing the date and put of delivery in the usa

A good example of a product that presents evidence of immigration status can be a registration that is alien or document through the Bureau for Citizenship and Immigration Services (formerly INS).

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You need to show citizenship, immigration and identification only 1 time. You don’t need to deliver these things once more if you reapply.

Healthier Texas Women provides women’s health insurance and household preparation solutions.

Whom can Apply?

To have advantages from this system, you need to satisfy requirements that are certain.

Issues & Answers

Get responses to questions regarding coverage, advantages and much more.

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