Quick Eligibility

SEARCH. LOCATE. EMPOWER. Your Health, Your Life, Your Community	Welcome: Guest	Help About Log Off

Quick Eligibility

Program : You will get the best results if you leave it set to "Search all programs currently available"
Age: Type your age in the box
City: Choose the city where you live, if the city is not listed leave non-selected.
County: Choose the county where you live.
Insurance: Choose from uninsured or underinsured, if you have any type of insureance choose underinsured.
Insurance Type: If you have no Insurance do not select any, If you are Underinsured pick the one that fits your insurance. If it is not listed choose the private insurance choice from the list.
Marital Status: Choose the one that fits you from the list.
Military Status: Choose the one that fits you. If you have never been in the military then you are a civilian.
Ethnicity: There are very few choices here, as these are the new 2007 census guidlines for ethnicity, if you are hispanic then you will choose the ethnicity from this list.
Race: Choose the race that best fits you here. 2007 census guidlines used here, If you are hispanic and chose it under ethnicity you do not need to list a race, leave this box at none selected.
Resident of US: Choose the one that best fits you, either you are a citizen, non-citizen, or perminant resident that is working under a green card or visa of some sort.
Sex: Choose the sex that you consider yourself.
Education Level: Choose your education level from the list.
Income: this is your monthly gross income.
Household size: count the number of people that are family members that reside in your household.
Disease: Pick your primary disease if you have one.
Specail Needs: It is important to pick all that apply to you. You can select 1 of them by clicking on it with the mouse, then find the key on the keyboard that says Ctrl it should be the bottom most key on the left hand side of the keyboard. Hold it down and begin to click on all of the special needs that apply to your situation. After you have chosen all that apply click on the arrow that is in the middle of the special needs box that is pointing to the right. The screen will go blank for a moment to refresh. Scroll back down the screen to continue putting in your information.
State: Choose the state where you live.
Zip: type in your zip code where you live.
Valid SSN: This is for determination of the Polk HealthCare Plan, put True for yes you do have a Social Security Number and False for No you do not have a Social Security number.
Assets (Family): For the Polk HealthCare Plan count all family assets in your immediate family, they count Assets as 2nd home, 2nd car, Money Markets, Bank acocunts. Your 1st home and 1st car do not count towards assets. If you have no assets fill in the nmber 0 in the box.
Assets: For the Polk HealthCare Plan for a single person, they count Assets as 2nd home, 2nd car, Money Markets, Bank acocunts. Your 1st home and 1st car do not count towards assets. If you have no assets fill in the nmber 0 in the box.

Quick Eligibility

Programs
Use Detailed Criteria	Use Detailed Income

Insurance Type
Disease
Household SizeIncome (Total Per Month)
Military Status
Ethnicity
Zip
County
Resident of US
Race
State
City

Special Needs - Choices:Special Needs - Assigned:Hold down the Ctrl key to select more then one choice.

Insurance
Age
Assets
Marital Status
Gender

Polk County BoCC Carescope

Questions? Call - 863-534-5990

Help About Log Off

Alcohol Abuse
Breast Cancer
Breastfeeding
Cancer History
Cervical Cancer
Children Under 3 Months Old
Children under 3 years old
Contact w/Hepatitis positive person
Dependent Children
Development Disability
Domestic Violence
Drug Abuse
Emergency Dental Care
History of Jail/Prison
HIV AIDS And Related Diseases
Housing
Mental Illness
Other
Physical Disability
Postpartum
Pregnant
Promiscuous
STD
TB