Hello! I’m Grace Y., the founder of the Texas Chapter. Texas, unfortunately, lacks access and navigation tools when it comes to legal issues. People all over Texas find themselves facing huge legal issues without any assistance at all. So, when Dr. Chow asked if I wanted to lend a hand and help out, I immediately joined and created the Texas Chapter. Because of the high goals of impacting millions of people around the globe, and the hope of effectively protecting their rights, I knew that I could not do this on my own.
During a debate group class, I got to know some people who shared my view of the world’s lack of legal assistance. I met up with Olivia, Vivian, and Rachel, who are now some of my close friends. Together, we discussed the topic of legal rights, came up with solutions that were cost effective, and in the process, began to connect and bond. Their brilliant and thoughtful ideas are what has inspired many of the solutions in this chapter.
In the HMDC Forensics Academy, we recognize that legal issues can be confusing, and challenging, and that legal assistance can be hard to find, especially when you have financial restrictions, which is why we started the Pro Pro Bono. This is meant to be an easily accessible and understandable platform, that is used to break down complex legal issues into direct and comprehensible language. All of the founders and co-founders of this platform are individuals who truly want the best for you and your families, and everybody who is part of this believes in equality for everyone, regardless of your income or financial restraints. We encourage you to delve deeper into our resources and find which solutions work best for you. If we all work together, we can make sure that no one is left behind in their chase for equality and fairness.
Medical services in Texas
Medicare in Texas
Introduction for Medicare:
Medicare, the United States federal medical insurance program, provides coverage for more than 4.4 million people in Texas who qualify for Medicare. You can get Medicare if you’re 65 or older or have a qualifying disability.
Your disability typically qualifies if you’ve received at least 24 Social Security or Railroad Retirement Board (RRB) disability insurance payments. You can also enroll in Medicare Advantage Plans if you have End-Stage Renal Disease (ESRD) or amyotrophic lateral sclerosis (ALS)
Eligibility for Medicare:
To be qualified for Medicare, you must be a United States citizen or a legal resident who has lived in the U.S. for at least five years, and:
· You are 65 years of age.
· Have a disability based on the Social Security’s definition of total disability, or
· Have ALS.
· Have ESRD (permanent kidney failure requiring dialysis or transplant).
· You worked and paid Medicare taxes for at least 10 years.
Medicare Plan Options in Texas:
Residents of Texas have multiple Medicare plans to choose from. Many are tiered to help Texas seniors find the plan that is best suited to their lifestyle and medical needs. For example, seniors and individuals with disabilities who don’t need much coverage can apply for Original Medicare. Texas’ Medicare Advantage program might be a better option if you need more comprehensive insurance. Some Medicare policies offer additional prescription drug add-ons or supplementary coverage.
- Original Medicare (Parts A and B):
· Original Medicare is the basic Medicare plan, which is a fee-for-service form of insurance.
· It has two parts: Part A hospital insurance and Part B medical insurance. Part A covers hospital stays and periods spent at skilled nursing facilities, lab tests an individual has performed, and hospice care. Part B covers doctor’s office visits and home health care services.
· With Original Medicare, you’ll pay a deductible along with your share of the fees incurred during an inpatient or outpatient visit:
· Original Medicare is a good choice if you want flexibility in choosing and accessing providers that accept Medicare anywhere in the U.S.
· There is no cap on what you could spend for out-of-pocket expenses, and you must purchase drug coverage separately, so it’s a better choice for you if you don’t need much in the way of health care or prescription drugs.
· If you don’t purchase a Medigap policy to supplement Original Medicare when you are first eligible, you may not be able to purchase one or may have to pay higher premiums, depending on your health status.
- Medicare Advantage Plans (Part C)
· Medicare Advantage plans, also known as Part C, are an alternative to Original Medicare offered by private insurance companies. These plans include both Part A and Part B coverage, except for hospice care.
· Medicare Advantage offers additional coverage for essential needs, such as prescription drugs, dental and vision care. Some Medicare Advantage Plans also cover gym memberships and transportation to and from medical appointments.
· Medicare Advantage is a good choice if you want to have all your health care and drug benefits bundled together in one plan and if you don’t mind being restricted in your choice of providers to save on costs.
· There is a cap on what you can spend for out-of-pocket Medicare-covered expenses.
· You also have access to services that Medicare doesn’t cover, like routine dental and vision exams.
- Medicare Prescription Drug Coverage Plans (Part D)
· Medicare prescription drug coverage is offered to all Medicare enrollees, but you may have to pay a penalty if you wait to enroll after being initially eligible.
· Medicare Part D plans may not all cover the same drugs or have the same costs as Medicare Advantage policies. Standalone Part D coverage is provided by Medicare-approved private insurers.
· Part D is a good choice if you have Original Medicare, or if you have a Medicare Advantage Plan ― not a health maintenance organization (HMO) or preferred provider organization (PPO) ― that doesn’t have prescription drug coverage.
· You pay a penalty if you wait to enroll in a Part D plan, unless you have creditable coverage from an employer-sponsored group plan.
· If you don’t require medications now, you can enroll in a low-premium Part D plan to avoid late enrollment penalties later.
- Medicare Supplement Insurance Plans (Medigap)
· These plans are intended to fill in the gaps Original Medicare doesn’t cover. Some of these gaps include medical coverage while overseas, Part A and Part B copays, and excess Part B charges.
· Medigap doesn’t pay for anything related to Medicare Advantage. You cannot have a Medigap plan and a Medicare Advantage Plan at the same time.
· Medigap is a good choice if you have Original Medicare and want help paying for out-of-pocket expenses you incur when you access your Part A and Part B benefits.
· You pay a monthly premium, and most copays and coinsurance costs are covered.
· If you have significant health care needs, want the freedom to see any Medicare provider without network restrictions, a Medigap plan offers predictable coverage and costs for Medicare-covered care.
· Medigap doesn’t cover prescription drugs or other benefits like dental and vision.
Applying for Medicare:
· If you become eligible for Medicare at the age of 65, and you can apply for care during the Initial Enrollment Period, which starts three months before your birthday, includes your birthday month, and lasts for three months after your birth month. If you do not apply for Medicare during this seven-month period, you may be forced to pay additional enrollment fees.
· If you are currently on disability, you may qualify for Medicare before your 65th birthday. In this case, your Initial Enrollment Period will begin three months before your 25th month of receiving benefits, and it will end three months after your 25th month.
· You may also be able to enroll at a different time if you are still working at the time you turn 65. If you are working at a company with more than 20 employees and are receiving healthcare from your employer, you can request an extension on your enrollment period. This will allow you delay accepting Medicare until after you retire and prevent you from needing to pay for multiple policies simultaneously.
Eligible and think Medicare is the right thing for you? Learn more and apply at Medicare Official Website:
https://www.medicare.gov/
Medicaid in Texas
What is Texas Medicaid?
Medicaid is the state and federal cooperative venture that provides medical coverage to eligible needy persons. The purpose of Medicaid in Texas is to improve the health of people in Texas who might otherwise go without medical care for themselves and their children.
The mission of the program is to improve the health of Texans by:
● Emphasizing prevention.
● Promoting continuity of care.
● Providing a medical home for Medicaid recipients.
● Ensuring that each recipient can receive high quality, comprehensive health care services within the recipient's community.
Who is eligible for Texas Medicaid?
To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
● Pregnant
● Be responsible for a child 18 years of age or younger.
● Blind
● Have a disability or a family member in your household with a disability.
● Be 65 years of age or older.
Please visit the Texas Medicaid website to learn more.
You can call the Texas Medicaid hotline toll-free at:
1-800-252-8263
TDD users can call:
512-424-6597
Doctors and Clinicians in Texas (Board Certified Only)
Doctors and clinicians include doctors, clinicians and groups who are qualified to practice in many specialties. Each specialty focuses on certain parts of the body, periods of life, conditions, or primary care. The doctors, clinicians, and groups listed here typically work in an office or clinic setting. Only those who currently accept Medicare are included.
Joel Adler
GENERAL SURGERY
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
(512) 324-7300
Nikita Shah
PSYCHIATRY
1500 Red River St Dell Seton Medical Ctr at Th
Austin, TX 78701-1918
(512) 324-7000
Emily Anne Bowen
INTERNAL MEDICINE
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
(512) 477-4088
Michael Lefkof Krol
AUSTIN GERIATRIC SPECIALISTS PLLC
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
(512) 477-4088
Geoffrey Flynn McCrossan
INTERNAL MEDICINE
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
(512) 477-4088
Melinda L. Alba
FAMILY PRACTICE
211 E 7th St
Suite 620
Austin, TX 78701-3218
(415) 504-3838 Ext. 9238
Jeanette Carpenter
DOCTOR ON DEMAND PROFESSIONALS P C
211 E 7th St
Suite 620
Austin, TX 78701-3218
(415) 504-3838 Ext. 9238
Melissa Eirich
EMERGENCY MEDICINE
211 E 7th St
Suite 620
Austin, TX 78701-3218
(415) 504-3838 Ext. 9238
James Fiechtl, MD
EMERGENCY MEDICINE
211 E 7th St
Suite 620
Austin, TX 78701-3218
(866) 719-9611
Elizabeth Pena
PHYSICAL MEDICINE AND REHABILITATION
211 E 7th St
Suite 620
Austin, TX 78701-3218
(866) 719-9611
Adewole S. Adamson
DERMATOLOGY
313 E 12th St
101 Tri County Prac Assoc
Austin, TX 78701-1955
(512) 324-9650
Dalia el Bejjani, MD
INFECTIOUS DISEASE
313 E 12th St
101 Tri County Prac Assoc
Austin, TX 78701-1955
(512) 324-9650
Use this link to find doctors near you:
https://www.medicare.gov/care-compare/results?searchType=Physician&page=1&city=Austin&state=TX&zipcode=&radius=200&medicareApproved=Y&physicianBoardCertified=true&sort=closest
Hospitals in Texas (All 5 Star Rating)
Hospitals provide services like medical, surgical, and psychiatric care to people who are sick or injured. Services are ordered by a doctor. These types of hospitals can be found here using the "Hospital type" filter:
● Acute care: Give inpatient medical care and other related services for surgery, acute medical conditions or injuries (usually for a short-term illness or condition).
● Children's: Inpatient care mostly for people under age 18.
● Critical access: Small facilities that give outpatient and limited inpatient services to people in rural areas.
● Psychiatric: Specialty facilities that mainly give inpatient psychiatric services to diagnose and treat mental illness on a 24-hour basis, by or under the supervision of a physician.
St David's Medical Center
ACUTE CARE HOSPITALS
919 E 32nd St
Austin, TX 78705
(512) 476-7111
Ascension Seton Northwest
ACUTE CARE HOSPITALS
11113 Research Boulevard
Austin, TX 78759
(512) 324-6000
Baylor Scott & White Medical Center - Round Rock
ACUTE CARE HOSPITALS
300 University Blvd
Round Rock, TX 78664
(512) 509-0100
Baylor Scott & White Medical Center - Marble Falls
ACUTE CARE HOSPITALS
810 W Highway 71
Marble Falls, TX 78654
(830) 201-7308
Coryell Memorial Hospital
CRITICAL ACCESS HOSPITALS
1507 W Main Street
Gatesville, TX 76528
(254) 865-8251
Dell Children's Medical Center
CHILDRENS
4900 Mueller Blvd
Austin, TX 78723
(512) 324-0000
Rating is not available.
Children's Hospital of San Antonio
CHILDRENS
333 N Santa Rosa St
San Antonio, TX 78207
(210) 704-3342
Rating is not available.
Healthbridge Childrens's Hospital of Houston
CHILDRENS
2929 Woodland Park Drive
Houston, TX 77082
(281) 293-7774
Rating is not available.
Ascension Seton Shoal Creek
PSYCHIATRIC
3501 Mills Ave
Austin, TX 78731
(512) 324-2000
Rating is not available.
Austin State Hospital
PSYCHIATRIC
4110 Guadalupe
Austin, TX 78751
(512) 419-2100
Rating is not available.
Austin Oaks Hospital
PSYCHIATRIC
1407 West Stassney Lane
Austin, TX 78745
(512) 383-8939
Rating is not available.
Cross Creek Hospital
PSYCHIATRIC
8402 Cross Park Drive
Austin, TX 78754
(844) 572-4956
Rating is not available.
Use this link to find the hospitals near your location:
https://www.medicare.gov/care-compare/results?searchType=Hospital&page=1&city=Austin&state=TX&zipcode=&radius=200&sort=closest
Nursing Homes in Texas (All 5 Star Rating)
Nursing homes are facilities for people who need 24-hour care. Most nursing homes provide both short-term and long-term care, including:
● Short-term care for people who need rehabilitation after surgery, like physical therapy after a hip or knee replacement.
● Short-term care for people who need skilled nursing to recover from an illness, like pneumonia.
● Long-term care for people who need help with activities of daily living, like bathing, dressing, or eating.
Some nursing homes offer specialized care for people with Alzheimer's disease and other types of dementia. The nursing homes here are certified by Medicare and/or Medicaid.
The Arbour at Westminster Manor
4200 Jackson Ave
Austin, TX 78731
(512) 454-2140
Querencia at Barton Creek
2500 Barton Creek Blvd
Austin, TX 78735
(512) 610-9400
Marbridge Villa
2504 Bliss Spillar Road
Manchaca, TX 78652
(512) 282-1811
Longhorn Village
12001 Longhorn Parkway
Austin, TX 78732
(512) 266-5600
Cedar Pointe Health and Wellness Center
1301 Cottonwood Creek Trail
Cedar Park, TX 78613
(737) 757-3100
Chisolm Trail Nursing and Rehabilitation Center
107 N Medina
Lockhart, TX 78644
(512) 398-5213
The Wesleyan Skilled Nursing and Rehabilitation
4011 Williams Dr
Georgetown, TX 78628
(512) 868-2700
Granite Mesa Health Center
1401 Max Copeland Dr
Marble Falls, TX 78654
(830) 693-0022
Diversicare of Luling
208 Maple St
Luling, TX 78648
(830) 875-5219
Legend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101
New Braunfels, TX 78130
(830) 420-6500
The Heights of Gonzales
701 N Sarah Dewitt
Gonzales, TX 78629
(830) 672-4530
Cornerstone Gardens LLP
763 Marlandwood Rd
Temple, TX 76505
(254) 771-5950
Baylor Scott & White Continuing Care Hospital Skil
2401 South 31st St
Temple, TX 76504
(254) 771-8200
Coronado at Stone Oak
19638 Stone Oak Parkway
San Antonio, TX 78258
(210) 402-5750
Care Choice of Boerne
200 E Ryan St
Boerne, TX 78006
(830) 249-2594
Use this link to find nursing homes near your location:
https://www.medicare.gov/care-compare/results?searchType=NursingHome&page=1&city=Austin&state=TX&zipcode=&radius=200&sort=highestRated
Hospice Care in Texas (All 5 Star Rating)
Hospice offers care and support that focuses on the quality of life for people and their caregivers who are experiencing an advanced, life-limiting illness. This type of care is most often provided where patients live, whether it's at home, an assisted living facility, or a nursing home. Hospice care uses a team of health care providers who care for patients' medical, physical, social, emotional, and spiritual needs.
Depending on the illness or condition, the hospice team creates a plan of care that can include some or all these services:
● Nursing care
● Hospice aide and homemaker services
● Social worker services
● Medical equipment and supplies
● Doctor/Physician Assistant services
● Prescription drugs for symptom control or pain relief
● Dietary counseling
● Physical and occupational therapy
● Speech-language pathology services (like to help with swallowing)
● Grief and loss counseling
Concho Hearts Hospice, LLC
(325) 482-0129
Heart to Heart Hospice of Lufkin LLC
(936) 699-6001
Hospice of East Texas
(903) 266-3400
Peterson Hospice
(830) 258-7799
Traditions Health
(936) 545-0320
Use this link to find hospice centers near you:
https://www.medicare.gov/care-compare/results?searchType=Hospice&page=1&city=Austin&state=TX&zipcode=&sort=alpha&tealiumEventAction=Landing%20Page%20-%20Search&tealiumSearchLocation=search%20bar