Financial Assistance Application
Financial Assessment Overview
This application collects information essential for assessing your eligibility for Jackson Prime benefits, which serve uninsured Miami-Dade County residents. Applicants must meet specific eligibility criteria based on their houshold size and income relative to the federal poverty guidelines.
Requirements to Apply for Jackson Prime Benefits
To qualify for Jackson Prime Benefits, applicants must meet the following criteria:
- Residency: Must have resided in Miami-Dade County for at least 90 days
- Insurance Status: Must be uninsured.
- A valid email address is required for all communications regarding our application.
- Timely Document Submission: All requested information must be submitted within 30 days of the application date. Eligibility will be determined within 30 days of receiving your complete application. All official communications regarding your case will be sent to you via email or mailed to the address you provided on your application.
- Financial Assessment: Full cooperation with the financial assessment review process is mandatory. Failure to do so may result in the decline of your application.
- Other Program Ineligibility: Must not be eligible for other programs, such as Medicaid, or must have been previously rejected for coverage from such programs.
- Department of Children and Families Compliance: If required, the applicant must comply with the Department of Children and Families.
The Jackson Prime and Grant Program is exclusively for Miami-Dade County residents.
There is no cost associated with submitting the Financial Assessment application.
You will receive notification if further information is necessary. For any questions or assistance, please contact us at 305-585-2222, Monday through Friday, from 8:30 AM to 5:00 PM.
New Application
Please click Apply below to begin your application for Financial Assessment.
Send Documents
If you have already filed an application and have been asked to submit new or additional proof or forms, you may click Send Additional Proofs below to upload documentation.