In order to get more information on this clinic, click on the icons below. You may be required to join for free in order to access full contact information.
How to Become a Patient
Medical care is provided free of charge for patients between the ages of 19 and 64 without health insurance and with income up to 200% of the federal poverty level.
To insure we are serving the clients who need our services, we ask our prospective clients to comply with a financial screening process to verify eligibility.
Screenings are performed every Monday and Wednesday
starting at 7 a.m. and the first twelve who sign-in.
(Line-up about 6:00 a.m.)
Prospective M.O.M. patients:
Must be a resident of either Montgomery, Autauga, or Elmore County.
Must be between the ages of 19 - 64.
Must have proof of a valid Social Security number .
Must NOT have or be eligible for Medicare, Medicaid, VA medical benefits, or private insurance.
In order for us to obtain medicines for our patients, pharmaceutical companies require the following information.
Please bring it with you to screening.
Copy of Social Security Card (OK if on driver's license)
Proof of Current Address (current within 60days)
Pay Stubs (at least #3, current within 90days)
Pension Stubs or Insurance Income
Proof of Social Security Benefits (Letter from Social Security Office)
Social Security Disability/SSI Benefits Letter (if disability then need amount and date of Medicare Eligibility) (Social Security office is at 4344 Carmichael Road or request online: http://socialsecurity.gov/onlineservices/)
A current denial letter from Medicaid office (current within 1 year). Please apply via the www.medicaid.alabama.gov; or in person at the Health Department in your county of residence.
Proof of unemployment Compensation
Proof of Workers Compensation Benefits
Proof of Alimony Benefits
Proof of Child Support
House or Utility Allowance (Letter from Housing Authority showing amount)
Food Stamp Assistance
Support letters from family, friends, etc. ***** (Signed, Dated, and Notarized)*****
Federal 1040, W2, 1099
If no income and did not file Federal 1040 for prior year, get verification of non-filing from IRS office at 1283 Carmichael Way or call (866) 562-5227
Monday & Wednesday open at 7:00am
Monday-Thursday, 8:00 a.m. - 4:30 p.m.
Friday 8:00a.m. - 12:00 p.m.
Crowd Source Service Rates - Let Our Users Know If You Paid During Your Visit
Have you visited Medical Outreach Ministries Montgomery before? Let our users know, some cost details!
|Be the first to add a price for services! No rates have been added.|