ALL PATIENTS (current and active) ARE REQUIRED TO REQUALIFY EVERY YEAR BY MAY 31.
Residents in Northwest Indiana who fall within established income guidelines and are not eligible for government assistance are candidates for services. The clinic is open to men and women between the ages of 18-64, without regard to race, creed, sex, religion, national origin or disability.
Determining Eligibility - Make an Appointment
To determine eligibility, patients should call (219) 663-2160 and make an appointment with the social worker who will discuss information regarding household income and number of persons in the household.
Every year, patients must bring in a copy of their Federal Tax & W-2 forms to be sure that they still meet the guidelines. Persons over the income requirements (150% poverty level) are referred to sliding fee scale clinics or physicians.
To apply, please follow these guidelines:
You must fall within these geographical boundaries:
- Lake County - Merrillville (South of 61st Avenue); Schererville & Dyer (South of Rt. 30); Crown Point; Cedar Lake; Lowell
- Porter County - Hebron ONLY
- Newton County
- Jasper County
- Pulaski County
Print off a new patient application/qualifying packet.
Complete the new patient application entirely and follow the instructions listed on the first page of the new patient application.
HIP 2.0
Franciscan Health St. Clare Health Clinic Crown Point strongly recommends that each patient apply for the Healthy Indiana Plan (HIP 2.0) and bring any notification to the qualification in order to be considered for services through the clinic.
Requalification Information
ALL PATIENTS (current and active) ARE REQUIRED TO REQUALIFY EVERY YEAR BY MAY 31.
Please follow the instructions below to begin the requalification process:
- Print off a copy of the qualifying packet.
- Fill in ALL required information in the packet.
- Gather your updated & current financial information, including copies of your most recent federal tax return.
- Call (219) 663-2160 to schedule your requalifying appointment.
Please have your packet complete and all financial information with you when you come for your requalifying appointment. If your information is not complete, you will be asked to reschedule.
