PATIENT INFORMATION

Access To Care

 

Vibrance Health accepts all patients. We are an in-network provider with most private/employer based insurance plans, Medicare, Medicaid, active duty / veteran plans and EAP (including Warrior Assistance Program (WAP).

If you are uninsured or have limited insurance benefits, we receive grant funding for specific programs and offer discounts (sliding fees) for services based on household size and income to assist with the cost of health care services.

PATIENTS WITH INSURANCE

If a patient has insurance, their carrier will be billed according to services provided.

Applicable co-pays and deductibles will apply.

Benefits will be verified, so please remember to bring your insurance card to all appointments.

Patients are responsible for verifying provider network status with carrier prior to appointment.

PATIENTS WITHOUT INSURANCE

If you are uninsured or have limited insurance benefits, you may provide documentation to establish eligibility for discounted fees for services, also know as a sliding fee scale. Eligibility is based on household size and income.

To view a printable list (available in English and Spanish) of the items you will need to bring with you to your eligibility appointment.

Download the Eligibility List.

 
 

FEE FOR SERVICE

Services at MEHOP are not free. You may pay a discounted fee if you are eligible.

Payment, including co-pays and deductibles, will be expected at time of service.

 

NEW PATIENT FORMS

 

If you wish to become a new patient at MEHOP please print, complete and submit the following forms.

Please remember to bring a list of all your current medications to your appointment.

MEDICAL ENGLISH

MEDICAL SPANISH

DENTAL ENGLISH

DENTAL SPANISH

MEDICAL RECORDS

To Request Medical Records:

Please download, complete, and print the authorization form needed to release or obtain records.

AUTHORIZATION TO RELEASE RECORDS

AUTHORIZATION TO OBTAIN RECORDS

 

Better Health Care is Our Goal

ADMINISTRATION OFFICES

101 Avenue F, Bay City, TX 77414

WHARTON OFFICE MANAGER

2112 Regional Medical Drive, Ste. 1305
Wharton, TX 77488