
Polk HealthCare Plan Eligibility
Eligibility is based on the following major factors
- Established Polk County residency with intent to remain
- Income at or below 100% of the Federal Office of Management and Budget (OMB) Poverty Level or lower
- Ineligible for other public and/or private health insurance plans
- Limited assets
- Valid for employment Social Security Card
- Picture ID
* By Appointment Only
To make an appointment at any of our locations, please call 534-5387.
Premiums, Deductibles, and Co-Payments
- There are no premiums or deductibles for the Polk HealthCare Plan.
- Polk HealthCare Plan clients are responsible to pay co-payments for certain medical services, such as primary care and specialty care office visits, emergency room visits and prescription medications as determined by the Plan. Co-pay amounts are based on household income.
- There are no co-payments for inpatient hospitalization, outpatient observation/surgery, and in office procedures for the Polk HealthCare Plan.
Identification Card
All Polk HealthCare Plan clients are issued an identification card and are instructed to present it to the health care provider prior to receiving medical services. The identification card denotes the clients name, case ID number, co-payment responsibility, Plan information and effective dates of enrollment. Current identification cards do not have a photo affixed, therefore, it is recommended to ask for clients to present a photo identification card along with the Plan identification card for validation purposes.
Eligibility Income Guidelines
When calculating household eligibility, $90 per month is disallowed (not considered) for clients who are employed. Listed below are the income eligibility guidelines (based on gross income). If you think you may be eligible contact Social Services at (863) 534-5387.
| Family Size | Annual Income | Monthly Income |
| 1 | $10,830 | $903 |
| 2 | $14,570 | $1,214 |
| 3 | $18,310 | $1,526 |
| 4 | $22,050 | $1,838 |
| 5 | $25,790 | $2,149 |
| 6 | $29,530 | $2,461 |
| Each Additional Person Annually | $3,740 | $312 |
| 100% of the Federal Poverty Level | ||
Plan Asset Limits
| Household Size | Limit |
| One Person | $2,000 |
| Two or more | $3,000 |
Contact Information
Email Address: phpeligibility@polk-county.net
To schedule an Appointment or for Information call (863) 534-5387
Not a Licensed Insurance Plan
This is a tax funded program for eligible residents who meet the criteria. The criteria is subject to change. Services are available as funding permits.


