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.

2015 Federal Poverty Guidelines

Family Size 100% Annual FPL 100% Monthly FPL
1 $11,770 $981
2 $15,930 $1,328
3 $20,090 $1,674
4 $24,250 $2,021
5 $28,410 $2,368
6 $32,570 $2,714
7 $36,730 $3,061
8 $40,890 $3,408
Each Additional  Person over 8 add $4,160 $346.67

* 1. Are you a Gaston County resident?
 Yes No

* 2. Are you age 18 or older?
 Yes No

* 3. Is your household income 100% of federal poverty or less based on the table shown above?
 Yes No

* 4. Do you have any kind of health insurance (private insurance, Medicaid, Medicare, VA benefits)?
 Yes No

* 5. Do you have a chronic medical condition?
 Yes No

* Your Name

* Your Email

* Your Phone Number

* Indicates required field.

 

Leave a Reply