Apply Online

Need healthcare? Please fill out the following short form to see if you qualify for HNG.  A member of our staff will contact you.  If you have questions, please call 704-874-1901.

Note:  Chronic medical conditions include diabetes, high blood pressure, asthma, heart disease, COPD, etc.

2018 Federal Poverty Guidelines

Family Size 100% Annual FPL 100% Monthly FPL
1 $12,140 $1,012
2 $16,460 $1,372
3 $20,780 $1,732
4 $25,100 $2,092
5 $29,420 $2,452
6 $33,740 $2,812
7 $38,060 $3,172
8 $42,380 $3,532
Each Additional     Person over 8 add $4,320 $360

* 1. Are you a Gaston County resident?
YesNo

* 2. Are you age 18 or older?
YesNo

* 3. Is your household income 100% of federal poverty or less based on the table shown above?
YesNo

* 4. Do you have any kind of health insurance (private insurance, Medicaid, Medicare, VA benefits)?
YesNo

* 5. Do you have a chronic medical condition?
YesNo

* Your Name

* Your Email

* Your Phone Number

* Indicates required field.

 

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