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  • Is Big Bend Health the hospital?
    No, Big Bend Health is a program of Big Bend Regional Hospital District. Our primary mission is to provide medical coverage to eligible county residents and we are not affiliated with the Big Bend Regional Medical Center. If you have a question for the Hospital, contact them directly ay 432-837-3447.
  • How to receive help?
    New clients should call Big Bend Health at 432-837-7051 to be pre-screened over the phone for eligibility and to discuss medical needs. Clients will then need to fill out application materials and schedule a time for an interview to complete the application process. We are happy to welcome you on a walk-in basis, but it is best to schedule a time to ensure a staff member is available to help you.
  • Where to receive help?
    Applications can be picked up at one of our offices in Alpine or Presidio. The Application can be downloaded from the website or mailed upon request. Patient Advocates are able to help anyone not able to come in person to one of our offices, please contact us for specific needs and accommodations.
  • Am I eligible for services?
    You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility – eligibility is always done on a case-by-case basis. Contact one of our Patient Advocates to be screened for eligibility.
  • I have past due medical bills – can you help?
    Yes, we can likely help if the past due bills are less than 3 months old.
  • Where can I go for medical care?
    Most doctors and clinics accept Big Bend Health locally, but not all of them. We can help connect clients needing specialty care with the network of providers across West Texas that accept our program.
  • What does it cost?
    The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.
  • What services are covered?
    Most preventative and emergency medical needs are covered by the program, but generally must be a Medicaid allowable medical procedure. Dental and vision services are limited to basic preventative care. Most prescription medications are covered, in addition to a number of medical equipment choices. Contact Big Bend Health for any questions regarding covered services.
  • What does dental and vision cover?
    Annual dental check up and cleanings are covered along with tooth extraction or filling. Vision services include a bi-annual check up and pair of glasses.
  • Do you provide behavioral or mental health services?
    Yes! Eligible clients are able to schedule up to 12 counseling sessions per year.
  • Can you help with transportation to medical appointments?
    Yes! Big Bend Health includes transportation assistance for those enrolled in the Medical Program. Transportation assistance is provided through TRAX.



​105 W. Holland Avenue

Alpine, Texas 79830

Phone: (432) 837-7051

Fax: (432) 837-3261


602 W. O'Reilly Street

​Presidio, Texas 79845

Phone: (432) 837-7051

Fax: (432) 229-2161


Big Bend Regional Hospital District

P.O Box 1439

Alpine, Texas 79831

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