QUALIFICATION REQUIREMENTS

If you are a resident of Cullman County without any health insurance coverage, meet certain income requirements, and are between the ages of 19 and 65 you may be eligible to receive health care services through Good Samaritan Health Clinic.

To become of patient of Good Samaritan Health Clinic, you must be a resident of Cullman County, have two forms of identification, and provide proof of all household income. You must not be covered by Medicare, Medicaid, Veteran’s or private insurance. All applicants must provide a Medicaid denial letter. Our income guidelines for 2020 are based on income from 2019 and are as follows:

  • PERSONS IN HOUSEHOLD
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • POVERTY GUIDELINE
    (250% Federal Poverty Guideline)
  • $31,900
  • $43,100
  • $54,300
  • $65,500
  • $76,700
  • $87,900
  • $99,100
  • $110,300
  • $121,500
  • $132,700

Income includes ALL income such as unemployment, alimony, child support, food stamps, disability, social security, SSI, AFDC, retirement, VA benefits, etc. received by everyone in your household.

PATIENT APPLICATION

If you believe you may qualify, it is best to apply for eligibility before you need care. Application packets are available anytime outside of the Clinic entrance at 401 Arnold Street NE, Cullman AL Completed applications are received from new patients on Monday, Tuesday, Wednesday, and Friday from 8:00 to 11:00 and 1:00 to 3:00, and Thursday from 8:00 to 11:00. Once we receive your completed application and no additional information is needed, we can make a determination of your eligibility with 24 to 48 hours. If you qualify, you will be mailed a letter, along with an appointment card if needed, notifying you of your acceptance. Each year between January 1 and February 16, patients must reapply and pay an annual processing fee of only $20. This annual fee gives you access to healthcare services through Good Samaritan including the majority of your medications at no additional cost.

Click BELOW to become a patient

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Overall Patient Satisfaction

  “In a recent survey of our patients, an overwhelming 100% indicated they would recommend Good Samaritan Clinic to family and friends who do not have health insurance.”

What our Patients are saying about us

I’m the kind of person that has never been one to accept something for basically nothing. And, so I postponed and postponed until it got to the point where I had to do something. They put me in contact with someone to help me get some eye glasses and an organization in Birmingham, so I could get my feet straightened out, so I can walk good. I’m able to motivate more; my grandson and I spend valuable time fishing together. It’s been tough, but they have helped me in more ways than one.

Charles

Without being able to come here, my health wouldn’t be good enough to work. My health is better since I’ve been coming here, and I ‘live normal’. It’s been a life saver.

Jeffery

I was afraid of the doctor to be honest…I was scared because I knew it was bad. And, I was scared to come (to the clinic) because I felt like they couldn’t help me. I just didn’t see myself as being important enough that somebody would help me. I was also afraid that I would be judged a great deal because I had let it get so bad. And, I didn’t know what to do. I had a 20-pound tumor inside of me. I prayed about it a lot. I asked God to please help me because I didn’t know what to do; God sent me some help

Donna

Good Samaritan helps me stay healthy. I’ve been a patient at GSC since 2010 so when I had a problem with my leg in October 2014 I was able to be seen in the Clinic before it got too bad. I was diagnosed with sarcoma (cancer in muscle) in my right thigh. Good Samaritan was able to refer me to a specialist and now I get my treatment in Birmingham through UAB Charity Care, and I have my lab work done here at the Clinic. Without Good Samaritan, I wouldn’t be as healthy as I am.

Brenda

My husband had been sick for 8 weeks before he finally went to ER. He had fluid on his heart and his heart rate was over 300. He was dying. My husband is a diabetic, has high BP, high cholesterol, and is on heart medicine. While we were at the hospital, we found out about GSC. We both filled out the paperwork to be a patient. I wasn’t sick but went ahead and applied just in case. I’m glad I did. Last month, I got sick and was able to be seen in the Clinic right away. My husband is doing much better. He now comes regularly to Good Samaritan for visits and takes his medicine like he’s supposed to. We are thankful for Good Samaritan because without them, we would not be able to afford the medicines. Good Samaritan is a life saver, and I would recommend to anyone who does not have insurance.

Rebecca

I don’t know where I’d be right now without the care I’ve received from Good Samaritan. Between premiums and deductibles, I would not have been able to afford my insulin and diabetic medications, blood work, or even be seen. I don’t know what could have happened to me. It was a life saver and a blessing.

Edith

Current Patients

401 Arnold Street NE
Cullman, AL 35055
(256) 775-1389
Fax: (256) 775-1396

Office Hours:
Monday, Tuesday, Wednesday, and Friday 8am – 4pm
Thursday 8am – 12pm
We are closed daily from 12pm to 1pm for lunch.