Benefits · Healthcare

How to apply for Marion County Indigent Health Care Program (CIHCP)

Marion County Commissioners Court — administers the County Indigent Health Care Program under Texas Health & Safety Code Chapter 61; located in Jefferson

Who it's for

The Marion County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Marion County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. Covers physician services, lab/x-ray, three prescriptions per month, and inpatient/outpatient hospital services through participating providers. PRIMARY HOSPITAL: No hospital in county; residents access Marshall (CHRISTUS) or Texarkana hospitals. UT Health East Texas (Tyler) and CHRISTUS Health (Tyler/Longview) are the regional tertiary referral hospitals — both offer their own Financial Assistance Programs for households above CIHCP threshold. Apply by calling Marion County at 903-665-3463.

Marion CIHCP at 21% FPL — very strict. No hospital in county; residents access Marshall (CHRISTUS) or Texarkana hospitals. UT Health East Texas (Tyler) is the tertiary referral; UT Health's Financial Assistance Policy provides broader 204-322% FPL coverage for households above CIHCP threshold.

What you'll need

  • Completed Marion County CIHCP application
  • Proof of all household income
  • Proof of household resources/assets
  • Proof of Marion County residency
  • Photo identification
  • Proof of uninsured status and Medicaid ineligibility

Where to apply

Apply online: official application

By phone: 903-665-3463

What to say when you call

"Hello, I'm calling to ask about Marion County Indigent Health Care Program (CIHCP). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need completed Marion County CIHCP application, proof of all household income, proof of household resources/assets — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual recertification

Official source →Last verified · August 30, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.