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 704-874-1958.

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

2023 Federal Poverty Guidelines

Family Size 100% Annual FPL 100% Monthly FPL
1 $14,580 $1,215
2 $19,720 $1,643
3 $24,860 $2,072
4 $30,000 $2,500
5 $35,140 $2,928
6 $40,280 $3,357
7 $45,420 $3,785
8 $50,560 $4,213
Each Additional     Person over 8 add $5,140 $428

    * 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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