To apply for Hillsborough HealthCare, you need to come to one of our enrollment sites where you will meet with a case manager.

If you complete an application before your meeting, it will take less time. You can obtain an application online or we can mail you an application (813-272-5040). If you prefer, you can obtain an application at an enrollment site.

When you come to the enrollment site to file your application, you will need to bring the following information with you:

• Proof of monthly income, such as a pay stub or letter from Social Security or the Veteran’s Administration, for every member of your household.
• A Social Security card for every member of your household.
• Two residency documents proving that you live in Hillsborough County.
• Proof of assets, such as a bank or credit union statement.
• Any insurance policies you have with loan value.
• Documentation of U.S. citizenship or proof of legal resident status in the U.S.

When you enroll in Hillsborough HealthCare, you will choose one of our neighborhood clinics as your "medical home". Once you are enrolled and pick your medical home clinic, the physician who sees you there will make any necessary referrals to specialists and, if necessary, arrange for your admission to a hospital.

A person or family is considered to be a resident of Hillsborough County if they establish or maintain a physical arrangement within the county, which they or someone responsible for them consider to be their home. It is the responsibility of the person or family applying for assistance to provide documentation of Hillsborough County residency. Two items from the following list must be provided as documentation of residency.

• Valid drivers license with Hillsborough County address.
• Receipt of mortgage or rental payment or letter from a landlord. (Motel receipt not acceptable).
• Proof of home ownership within Hillsborough County.
• Homestead exemption document.
• Public utility bill in name of applicant or spouse with Hillsborough County address.
• Hillsborough County voter registration card.
• Proof of enrollment of applicant's children in school in Hillsborough County.
• Residency documented through a social service agency's or another county department's case record.
• Cancelled mail from a federal, state, or county agency addressed to the applicant or spouse at a local address.
• Written verification from a community agency.
• Verification from post office of mail received at an address in Hillsborough County by applicant or spouse.

When you complete your application you will be asked to identify sources of your income. If you receive income from any of the following sources, it should be listed.

Wages, tips, money earned through self-employment less business costs, and other types of income such as Social Security/Railroad Retirement and/or Disability, VA income, pensions, Civil Service, unemployment, child support, alimony, dividends, interest income, stipends, money from another person, annuity income, rental income, workers' compensation, estate/trust income, public assistance, and grants, scholarships, and student loans less tuition, books, fees, and other school-related costs. Income from odd jobs, day labor, temp pools, babysitting, house cleaning, flea market sales, lawn mowing etc. is also counted.

When you complete your application you will also be asked to identify your assets. You should list any of the following assets if you have them.

Checking and savings accounts, profit sharing accounts, deferred compensation accounts, IRAs, insurance policies with cash value, certificates of deposit (CDs), money market accounts, automobiles other than the first, homes other than the homestead, acreage, trailer if not homestead, lots, boats, recreational vehicles, stocks, bonds.