Eligibility

Eligibility

You may qualify for ACHN’s free consultations and discounted services,If you do not have medical insurance,

AND

Your household income falls within 300% of the Federal Poverty Level 

OR

You receive Federal or State benefits, such as:

Our financial assistance support includes:

By addressing financial barriers, we help ensure patients maintain consistent access to essential medications.

Registration

1. Meet the above criteria

2. Complete the Registration Packet

3. Provide a government-issued Photo ID – passport, green card, driver’s license, state ID
4. Provide proof of Income
Include one of the following: Recent Tax Return, W2 or one month of paycheck/stubs,
OR
Documentation of other income including social security, disability, retirement/pension, child support/alimony, unemployment income

OR

Documentation showing SNAP benefits, employment termination, zakat benefits, asylum/refugee status, VA TANF, Section 8 housing, student visa, or client of another 501(c) nonprofit organization.
5. Email, Fax, Mail, or bring in ALL of the above required documents.

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