Eligibility Requirements

Your Appointment for Eligibility 

Please remember to bring the following to your appointment:

• If you have Medicaid, bring in your gold Medicaid card. If your Medicaid is an HMO, we will need prior authorization from your doctor.
• If you have Medicare coverage, bring in your red, white, and blue Medicare card.
• If you have private insurance, please bring your insurance card with you.

Florida Department of Health in Santa Rosa County provides family planning services to uninsured clients based on a sliding scale fee. The cost of a visit varies according to services received. Based on family size and income, a sliding scale fee from 0% to 100% may apply to your charges. For example, if the service charge is $40, a person with a sliding scale fee of 25% would pay $10.

Proof of household income for the previous four weeks for the family unit and a picture ID is required for the eligibility process. Proof of income could include pay stubs, a letter from your employer, copy of benefits check if receiving unemployment benefits, or a bank statement showing your direct deposit. If you have no income, we will need a signed and dated statement from the individual(s) providing your support.

Additional Programs 

The Florida Breast and Cervical Cancer Program

Assists uninsured women 50-64 that qualify financially for services. Services include a pap smear and mammogram.

Family Planning Medicaid Waiver

The Family Planning Medicaid Waiver is a special Medicaid waiver that extends for up to two years Medicaid coverage for women age 14-55 who have lost their full Medicaid coverage. Medicaid for Family Planning is limited to annual physical exams and pap tests, birth control including tubal ligations, pregnancy tests, and testing for sexually transmitted diseases (STD).

Presumptive Eligibility for Pregnant Women (PEPW)

Assists women by providing temporary Medicaid eligibility which enables women to start their prenatal care. The client must follow up with the Department of Children and Families to access Medicaid throughout the pregnancy.