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The Medical Program provides comprehensive coverage for preventative and emergency medical care for eligible county residents. 
  • For low-income and low-resource county residents
  • $30,000 maximum annual benefit
  • Includes preventative dental (annual check up and cleaning) and vision coverage (bi-annual check up and pair of glasses)
  • Limited medical supplies such as wheelchairs, cane, diabetic supplies, etc.
  • Can provide retroactive coverage up to 3 months prior to application to pay for emergency medical bills 
  • Must meet income and resource/asset eligibility limits

Big Bend Health is committed to ensure that the eligible county residents receive healthcare services in an equitable and non-discriminatory manner. These medical care services are provided in a manner that is fair and equitable, efficient, and without undue expense of local taxpayer dollars, which fund such care.

Medical coverage provided by Big Bend Health is not insurance coverage and may not be accepted by some medical facilities or physicians. Big Bend Regional Hospital District has administrative control over this program and may from time to time modify, make administrative or operational changes, or suspend coverages. In non-emergency situations patients and providers should determine if the anticipated services are covered by this Program and to what extent before beginning medical treatment.
The Big Bend Regional Hospital District is charged by Article IX, section 9 of the Texas Constitution to provide certain health care services to eligible county residents. In addition, section 61.055 of the Texas Indigent Health Care and Treatment Act, (Ch. 61 Texas Health & Safety Code) requires the District to provide the health care services required under the Texas Constitution and the statute creating the District. The District's enabling legislation provides that the Board of Directors of the District shall have the power and authority to promulgate rules governing the healthcare services to be delivered by the District in Brewster and Presidio counties. 


Prescription Assistance Program

The Prescription Assistance Program provides coverage for medications for eligible county residents that have Medicare medical coverage, but no coverage for medications (Part D). 
  • For low-income and low-resource county residents
  • Annual benefit of $5,000 in medications with a $5.00 co-pay per medication
  • Must meet income and resources eligibility requirements

RX Grant Program

The RX Grant program provides free medication for low- and mid-income county residents for many of the more expensive medications. 
  • Low- to mid-income requirements (eligibility varies depending on medication)
  • Easy application process
  • Typically a 3-month medication supply will be mailed to residence or provider office
  • Medications include: 





​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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