Benefits · Healthcare
How to apply for WilCo Care Card — Williamson County Indigent Health Care Program
Williamson County and Cities Health District (WCCHD) — operates the WilCo Care Card program, Williamson County's County Indigent Health Care Program (CIHCP) under Texas Health & Safety Code Chapter 61; supplemented by Upper Payment Limit (UPL) partnerships with St. David's Round Rock and St. David's Georgetown hospitals
Who it's for
Williamson County operates its County Indigent Health Care Program (CIHCP) through the Williamson County and Cities Health District (WCCHD), which administers the WilCo Care Card program. Williamson County does not maintain a public hospital district but partners with St. David's Round Rock and St. David's Georgetown hospitals through the Upper Payment Limit (UPL) program (since 2007) to fund inpatient and outpatient hospital services for eligible WilCo Care members. The WilCo Care Card covers: medically necessary doctor visits and annual physical exams, laboratory and x-ray services, specialist care with primary physician referral, hospitalization (maximum 30 days per program year), eye exam and prescription eyewear, limited prescriptions, and mental health services including counseling. Eligibility: Williamson County resident, age 18+, household income less than 21% of the Federal Poverty Level (the Texas statutory minimum), not eligible for Medicaid or Medicare. Apply by calling the WCCHD Healthcare Helpline at 512-248-3252 or visiting wcchd.org. The WilCo Care Card is accepted by providers across Williamson and at some providers in Bell and Travis counties.
Williamson's 21% FPL income gate is the Texas STATUTORY MINIMUM — only the very poorest Williamson residents qualify for full WilCo Care coverage (those at or near SSI income levels). Hospitalization is capped at 30 days per program year. Williamson does NOT have a public hospital district; the UPL partnership with St. David's Round Rock + Georgetown is the mechanism by which Williamson County pays for hospital care for WilCo Care members. For Williamson residents above 21% FPL, St. David's HealthCare also offers a separate Patient Financial Assistance Program with broader 200%+ FPL sliding-scale assistance. For Medicare-eligible Williamson seniors, MSP pathways (QMB/SLMB/QI) are typically more accessible than WilCo Care.
What you'll need
- Completed WilCo Care Card application
- Proof of all household income (paycheck stubs, Social Security award letter)
- Proof of all household resources/assets
- Proof of Williamson County residency
- Photo identification
- Proof of uninsured status and Medicaid/Medicare ineligibility
- Citizenship or eligible non-citizen documentation
Where to apply
Apply online: official application
By phone: 512-248-3252
Renewals
annual recertification required
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.