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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Family Planning Financial Eligibilty

Florida Department of Health in Osceola County

NOTE:

Family Planning Only Cards are available only for those who do not qualify for Family Planning Medicaid Waiver (those who do qualify for the Family Planning Medicaid Waiver must follow through completely with the waiver application process).



Family Planning Medicaid Waiver

Family Planning Waiver application can be conducted for those who:

  • Lost full Medicaid (within the last 2 years)
  • Have not had a Hysterectomy or Tubal Ligation
  • Not pregnant
  • Desires Family Planning services

Qualified clients must provide the following:

  • Valid ID with picture
    • Driver's license
    • OR valid Florida non-driver's ID
    • OR military ID card
    • OR recent passport (a U.S. passport can also be used as proof of U.S. citizenship)
  • Proof of Address
    • No P.O. Box
    • Current electric bill or water bill
    • OR current telephone bill
    • OR current bank statement
    • OR current credit card statement
  • Proof of Income: All household income within the last 30 days
    • Parents' income is   also needed, if the client is under 21 (If residing with parents)
    • If paid weekly - last 4 consecutive pay stubs
    • OR If paid bi-weekly - last 2 consecutive pay stubs
    • OR recent 1040 Tax Form - Schedule C (if self-employed)
    • OR unemployment documentation (if applicable)
    • AND Social Security income (if applicable)
    • AND Proof of Child Support  (if applicable)
  • Birth Certificate (for US citizens)
  • Social Security Card
  • Alien Registration Card (for legal residents)


The Family Planning Waiver application is available in the following languages:


Family Planning Only Cards

  • Valid ID with picture
    • Driver's license
    • OR valid Florida non-driver's ID
    • OR military ID card
    • OR recent passport (a U.S. passport can also be used as proof of U.S. citizenship)
  • Proof of Income: All household income within the last 30 days
    • Parents' income is also needed, if the client is under 21 (If residing with parents)
    • If paid weekly - last 4 consecutive pay stubs
    • OR If paid bi-weekly - last 2 consecutive pay stubs
    • OR recent 1040 Tax Form - Schedule C (if self employed)
    • OR unemployment documentation (if applicable)
    • AND Social Security income (if applicable)
    • AND Proof of Child Support  (if applicable)
  • Birth Certificate (for US citizens)
  • Social Security Card
  • Alien Registration Card (for legal residents)