Benefits · Healthcare

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

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

Who it's for

The Real County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Real County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: No hospital in county; residents access Uvalde (UMH), Kerrville (Peterson), or San Antonio hospitals. For regional tertiary care, Uvalde Memorial Hospital and Val Verde Regional Medical Center (Del Rio) are the typical referral hospitals; San Antonio hospitals (University Health, CHRISTUS) for complex care. Apply by calling Real County at 830-232-5304.

Real CIHCP at 21% FPL — very strict. No hospital in county; residents access Uvalde (UMH), Kerrville (Peterson), or San Antonio hospitals. Val Verde Regional Medical Center (300% FPL FAP, Del Rio) is the regional generous referral.

What you'll need

Completed Real County CIHCP application
Proof of all household income
Proof of Real County residency
Photo identification
Proof of uninsured status and Medicaid ineligibility

Where to apply

Apply online: official application

By phone: 830-232-5304

Renewals

annual recertification

Official source →Last verified · June 7, 2026

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