Tuesdays 6:00pm-9:00pm
824 S. Union Boulevard, Colorado Springs, Co 80910
719-475-0972 | openbiblemedicalclinic@gmail.com

Eligibility Guidelines

You Are Qualified If

  • OVER the age of 18
  • A veteran with NO benefits
  • Currently employed and earn LESS than or equal to 200% of the Federal Government Poverty Level Guidelines (see chart below)
  • Have NO health insurance Coverage
  • Are NOT eligible for state or federal coverage
    (Medicaid or Medicare)
  • NOT a member of PVCHC (Peak Vista Community Health Center)
  • NOT a member of S.E.T Medical Clinic
  • NOT a member of Mission Medical

You DO NOT Qualify If

  • UNDER the age of 18
  • A veteran with benefits
  • Currently employed and earn MORE than 200% of the Federal Government Poverty Level Guidelines (see chart below)
  • Have health insurance Coverage
  • Are eligible for state or federal coverage
    (Medicaid or Medicare)
  • A member of PVCHC (Peak Vista Community Health Center)
  • A member of S.E.T Medical Clinic
  • A member of Mission Medical

2017 Federal Poverty Level Guidelines

You must be actively employed and earn less than or equal to the amount specified for you family size to be eligible for our clinic.

Family Size 200% Guideline
1 $24,120
2 $32,480
3 $40,840
4 $49,200
5 $57,560
6 $65,920
7 $74,280
8 $82,640

Documentation Requirements

  1. Photo Identification
  2. Proof of residency in El Paso or Teller Counties
    • Lease and most recent Utility Bill
  3. Proof of Income
    • Mandatory Items (if applicable)
      • Income Tax Forms are required (if you’ve filed) / previous year W-2 (if you’ve worked & not yet filed)
      • Disability letter from Social Security Administration (if you are receiving disability)
      • Food stamp letter showing the amount you receive monthly (if you are receiving this assistance)
    • If you have not filed Income Tax documents in recent years or don’t have a W-2, Please provide the following:
      • Pay Stubs from previous 2 months
      • Bank Statement for automatic deposits for 2 previous months
      • Unemployment Compensation Voucher