Photo of Medication, Indigent & Charity Programs sign

Financial Assistant Plan (FAP)

Indigent Care

ECMH Charity Care Policy

ECMH Indigent Policy

ECMH Indigent and Charity Program Application

West Wharton County Indigent Health Care Program (CIHCP)
Based on eligibility, this program provides basic medical services for the residents of West Wharton County. This temporary assistance includes up to 3 prescribed medications per month through Wal-Mart Pharmacy & any In-Patient and Out-Patient services at El Campo Memorial Hospital. Our Indigent program does not cover Specialists or Services rendered at other facilities.

Applicant must provide:

Completed Indigent Application for each person applying.

Proof of All Household Income (wages, self-employment, child support, SSI, Social Security and Retirement Benefits, Cash contributions, unemployment benefits, workman's Comp, etc.) for All Household members.

Current Income Tax Return (forms 1040) and all W-2's

Valid West-Wharton County ID or DL (mandatory)

Social Security Card

Verification of any assistance received such as Food Stamps, Medicaid &/or TANF

Verification of any pending SSI or Social Security Administration Applications

Copy of Vehicle Titles and /or Verification of amount owed for All vehicles listed for all household members

Current Bank Statements for all Bank Accounts for all Household Members

Current Electric, Gas or Water bill for residence

Processing time for an Indigent application is 14 days from the date a completed application is received. (A completed application is considered as an application and all required information).

For more information, please contact:
Carolina Covarrubia, West-Wharton County Indigent/Charity Program
(979) 578-5194

Hours of operation::
Monday - Friday, 8:00am to 5:00pm
Closed for lunch from 12:00pm to 1:00pm

Office Location:
Inside El Campo Memorial Hospital adjacent to the ER
(Look for the hanging sign: Medication, Indigent and Charity Programs)

The Medication Assistance Program
The Medication Assistance Program can provide applicants with free medications based on eligibility from several Pharmaceutical Companies. Processing paper work and delivery of the medications can take up to 6 weeks depending on applicant, medication and pharmaceutical company.

Charity Care Program

Based on eligibility, this program provides basic medical services for the residents of West Wharton County. This temporary assistance includes In-Patient and Out-Patient services at El Campo Memorial Hospital. Our Charity Care Program does not cover Specialists or Services rendered at other facilities.

Applicant must provide:

Completed Indigent/Charity Application for each person applying.

Proof of All Household Income (wages, self-employment, child support, SSI, Social Security and Retirement Benefits, Cash contributions, unemployment benefits, workman's Comp, etc.) for All Household members

Current Income Tax Return (forms 1040) and all W-2's

Valid West-Wharton County ID or DL (mandatory)

Social Security Card

Verification of any assistance received such as Food Stamps, Medicaid &/or TANF

Verification of any pending SSI or Social Security Administration Applications

Copy of Vehicle Titles and /or Verification of amount owed for All vehicles listed for all household members

Current Bank Statements for all Bank Accounts for all Household Members

Current Electric, Gas or Water bill for residence

Upon eligibility, a co-pay as low as will apply to each appointment with your assigned Physician.

Processing time for a Charity Care application is 14 days from the date a completed application is received. (A completed application is considered as an application and all required information).

For more information, please contact:
Carolina Covarrubia, West-Wharton County Indigent/Charity Program
(979) 578-5194

The Medication Assistance Program
The Medication Assistance Program can provide applicants with free medications based on eligibility from several Pharmaceutical Companies. Processing paper work and delivery of the medications can take up to 6 weeks depending on applicant, medication and pharmaceutical company.