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Travis Texas Form W-3C: What You Should Know

If you live in Travis County and are uninsured, you are eligible for coverage through the Medical Access Program (MAP) MAP basic benefits are: 1. Coverage through the Medical Access Program. 2. Coverage through your county's countywide health plan. 3. Coverage through the countywide Health Net. MAP supplemental benefits are based on geographic region, income, and health care needs. For each year the county meets MAP Basic or MAP Supplemental income limits, you receive an annual increase in MAP benefits.  MAP benefits are not insurance, and your medical coverage decisions will be at the sole discretion of Central Health employees and physicians. Central Health considers the following factors when determining your eligibility: a. The ability of your current and likely future health care needs to be met — such as whether you are able to obtain health and dental care or will require additional medical supervision for an anticipated illness. b. The likelihood that you will be able to pay the cost of medical services or other covered benefits to you and your family members. For more information and assistance in determining if you are eligible for the MAP program, call.  MAP Basis-Based Medical Insurance Benefit (MOB) Purchased health care services may consist of outpatient care, inpatient care, hospitalization, emergency care, maternity care, rehabilitation services, and pharmacy services. Services are covered using the inpatient and outpatient benefit schedule based on the geographic or economic region of the participating county. If you or your family members qualify for MOB, there are different benefits available that are available at no additional cost: • Inpatient Emergency Care in Texas Maternity care in the Travis County Medical Facility is available without a copay and at zero cost for up to 1 month. For more information and assistance in determining if you are eligible for the MOB program or to make an appointment with an urgent care doctor, call. MAP Medical Plan and Medical Service Account (MSA) You can use these accounts to help pay for a variety of medical and health services and related medication, supplies, prescriptions and other cost-sharing. You can transfer the account amount from your health care service plan (HCP) or Medical Access Plan (MAP) account.

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