county auditor
Bandera County Indigent Health Care Program (CIHCP) 
  • County Indigent Health Care Program (CIHCP) is a county program that provides medically necessary health care benefits to individuals who meet the income, resource, residency and household criteria; and who are ineligible for other state or federal assistance programs. This is not an insurance program.

  • CIHCP pays for basic, medically necessary health care services such as:
    • Physician services
    • Annual physical exams
    • Vaccines
    • Medical screening
    • Laboratory and radiology services (ordered by physician)
    • Skilled Nursing facility (ordered by physician)
    • Prescriptions (max 3 per month; ordered by physician; no over-the-counter)
    • Rural health clinic services
    • Inpatient and Outpatient hospital services

    Bandera County has also opted to include:
    • Advanced Practice Nurse services
    • Ambulatory Surgical Center services
    • Diabetic Medical supplies and services
    • Physician Assistant services
    • Participants may be responsible for services received that are not covered or are not medically necessary.

    Income limitations
    • Generally, a person with earned income could earn up to $255 per month and still meet the income limit of 21% of the Federal Poverty Income Level (FPL) for a household of one. See Poverty Guidelines for different household sizes.
    • Those with unearned income have a different calculation applied.
    • CIHCP administration follows HIPAA guidelines (Health Insurance Portability and Accountability Act) which outline how private health information should be managed and protected. A copy is available on request or use the link below.
    • There is an application process and documentation may be required for residency, income and assets. A copy of any documentation from the Social Security Administration re status of claims for federal programs will be required.

    Applications, or further information, for the program are posted below and can also be obtained at the County Auditor's office at 1207 Pecan St, P.O. Box 563, Bandera, Texas 78003. To request an application by mail or for more information, email or call 830-796-7166.