Parkland Financial Assistance

Patients must qualify based on information such as income in relation to Federal Poverty Income Level (FPIL) guidelines and household size. Individuals with an income below 250 percent of FPIL are eligible to apply. People who qualify for Parkland Financial Assistance cannot be charged more than the amounts generally billed for emergency or other healthcare that is medically necessary.

You can read the full Parkland Financial Assistance Policy or Parkland Financial Assistance Policy (Spanish).

As a member of PFA, you will be able to receive healthcare services that are medically necessary and are normally provided at any Parkland location. Note that only the costs of Parkland healthcare services are eligible. You will be personally responsible for charges at a healthcare provider that is not Parkland. Services not medically necessary may not be covered by PFA.

Services eligible for financial assistance include hospital care, emergency room visits, preventive care and medically necessary outpatient services:

• Emergency Services
• Women & Infants Services
• Primary Care (COPC)
• Specialty Care (Diabetes, heart disease, cancer, etc.)
• Hospitalizations
• Pharmacy Services
• Radiology & Laboratory
• 24-hour Nurse Line

 

Parkland Financial Assistance covers all Parkland facilities, including but not limited to hospitals, ambulatory surgery centers, clinics, and all corporate departments/divisions. Providers covered under this policy include Parkland Community Oriented Primary Care Clinic (COPC) and Outpatient Clinic (OPC) locations, Parkland inpatient and outpatient facilities, Parkland-employed physicians and mid-level providers. University of Texas Southwestern Medical Center (UTSW) physicians professional services charges and mid-level providers are not covered under this policy.

All providers at Parkland Memorial Hospital and in our network of Community Oriented Primary Care health centers are included in Parkland Financial Assistance. For a complete list of providers, please click here. 

There is no cost to enroll.

You will be asked for a payment for clinic visits, prescriptions, medical supplies or certain medical procedures. Payments are due at the time you get your healthcare services. To learn more about co-pays and the cost of your healthcare services while enrolled in PFA, please review the patient payment responsibility chart or the patient payment responsibility chart (Spanish). You may not be charged more than the amount generally billed.

If you have never applied for Parkland Financial Assistance (PFA) or it has been more than 6 months since your PFA expired and you would like to see if you qualify, follow these steps to apply.

Online:

Apply online here or through your Parkland MyChart.

By mail or in person:

1. Please complete the application. (English/Spanish)
2. Please complete the employment verification form. (English/Spanish)
3. Please complete the asset form if you have Medicare (English/Spanish) and/or the self-employment income form (English/Spanish) if you are self-employed.
4. Please complete the verification of support form if someone else provides you financial or residency assistance. (English/Spanish).
5. Gather the documents needed. Parkland requires:
   • Proof that you live in Dallas County (residency)
   • Valid photo identification (ID)
   • Proof of Income
   • Number of people in your household
     
6. Review the required document list. (English/Spanish)
7. Return the completed application and copies of all documents. You can return the forms the following ways:

Submit by mail:
Parkland Financial Assistance Application
Patient Financial Services
2021 Medical District Drive
Dallas, TX 75235

Submit in person:
Bring to the Patient Financial Services Office:
Monday - Friday | 8 a.m. - 4 p.m.

PFA counselors are conveniently located at Parkland clinics throughout Dallas County to help you apply.

If you have already been a PFA client, learn more about how to apply again for assistance.