How to apply for WilCo Care Card — Williamson County Indigent Health Care Program in Texas
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, diagnostic testing and imaging, specialist care with primary physician referral, emergency room care, hospitalization (maximum 30 days or $30,000 in eligible expenses per program year, whichever comes first), prescription eyewear every two years, prescription medications (up to three per month, 30-day supply), and mental health services including counseling. WilCo Care pays up to $30,000 of eligible expenses per program year. Eligibility: Williamson County resident, age 18+, household income less than 21% of the Federal Poverty Level (the Texas statutory minimum), countable resources within the Health and Safety Code Chapter 61 limit, and ineligible for Medicaid. Apply by calling the WCCHD Healthcare Helpline at 512-248-3252 or visiting wcchd.org. The same helpline also runs WCCHD's Benefits Enrollment Center, which helps adults 65+ and adults with disabilities apply for Medicare Extra Help, Medicare Savings Programs, Medicaid and SNAP at no cost. 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.
People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.
Discover my benefitsWhat 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
What to say when you call
"Hello, I'm calling to ask about WilCo Care Card — Williamson County Indigent Health Care Program. 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 WilCo Care Card application, proof of all household income (paycheck stubs, Social Security award letter), proof of all 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 required
Not sure if you qualify? Run a free check first.
Discover my benefitsNot legal or financial advice. The agency makes the final eligibility decision.
