Patient Qualifications

How to Become a Patient

To be treated by a VHP physician you must first complete the qualifying procedure. If you qualify as a VHP patient you will be eligible to see a VHP physician and participate in the other programs offered by the clinic.

To be a Victory Health Partners patient you must:

Have no form of private medical insurance
Not be eligible for Medicaid, Medicare or VA health benefits.
Be a resident of Mobile or surrounding counties.
Be between the ages of 19 and 65 years old.
Have a gross income of less than three times the Federal Poverty Guidelines.

Each case will be reviewed on an individual basis.

2021 Federal Poverty Level GuidelinesPatient Qualifications

Patient Qualifications

To be treated by a Victory Health Partners’ physician you must first complete the qualifying procedure. If you qualify as a Victory patient you will be eligible to see a Victory physician and participate in the other programs offered by the clinic.

To be a Victory Health Partners patient you must:

Have no form of private medical insurance
Not be eligible for full Medicaid, Medicare or VA health benefits.
Be a resident of Mobile or surrounding counties.
Be between the ages of 19 and 65 years old.
Have a gross income of less than three times the Federal Poverty Guidelines.

2017 Federal Poverty Level Guidelines

Each case will be reviewed on an individual basis.

Qualification Procedure

To become qualified as a patient you must make an appointment to determine eligibility. For your convenience you may download the registration forms below and fill them out in advance. In addition to the forms here, the following documents must be presented at the first appointment:

Qualification Procedure

To become qualified as a patient you must make an appointment to determine eligibility. For your convenience you may download the registration forms below and fill them out in advance. In addition to the forms here, the following documents must be presented at the first appointment:

Patients will be requalified in May of each year by providing a copy of their current income tax return or other current proof of income. These items may be faxed to New Patient Services, 251-460-0992.

Patient Registration Form

Patient Agreement

Current local photo identification
Social Security Card
Proof of Residence, such as utility bill, lease agreement, etc.
Proof of all household income*
*Current tax return for the household (required if filed) OR Four current pay stubs for each employed person in the household OR A notarized letter of employment for each employed member of the household stating the average number of hours worked per week and the gross rate of pay.

Patient Fees

Patient fees are calculated on a sliding scale that is based on family size, gross family income and circumstances. Patients who have not yet qualified will pay $60 per office visit for up to two physician visits. Non-qualified patients are also eligible for one lab visit ordered by Victory physicians. The cost of the lab visit depends on the type and number ordered.

Victory does not bill patients for services rendered. Patients are expected to pay for services at the time of the office visits with cash or check.

Lab fees are a separate charge and are also due at the time of service. Through a donation from Quest Labs we are able to keep our lab fees low.

To be a patient of the clinic, a $60 annual administrative fee is required. This fee enables Victory to provide additional services to our patients without charging extra fees for those services. Examples of additional services are Patient Assistance Program (PAP), Medication Dispensary, Urine Tests, Strep Tests, X-Rays, EKG’s and Counseling.

Thank you for helping Victory qualify you as a patient.

Persons in Household	Federal Poverty Level	Victory Eligibility (300% of FPL)
1	$12,880	$38,640
2	$17,420	$52,260
3	$21,960	$65,880
4	$26,500	$79,500
5	$31,040	$93,120
6	$35,580	$106,740
7	$40,120	$120,360
8	$44,660	$133,980

Persons in Household	Federal Poverty Level	Victory Eligibility (300% of FPL)
1	$12,060	$36,180
2	$16,240	$48,720
3	$20,420	$61,260
4	$24,600	$73,800
5	$28,780	$86,340
6	$32,960	$98,880
7	$37,140	$111,420
8	$41,320	$123,960

How to Become a Patient

Patient Qualifications

Have no form of private medical insurance

Not be eligible for Medicaid, Medicare or VA health benefits.

Be a resident of Mobile or surrounding counties.

Be between the ages of 19 and 65 years old.

Have a gross income of less than three times the Federal Poverty Guidelines.

Patient Links

Important Numbers

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Patient Qualifications

Have no form of private medical insurance

Not be eligible for full Medicaid, Medicare or VA health benefits.

Be a resident of Mobile or surrounding counties.

Be between the ages of 19 and 65 years old.

Have a gross income of less than three times the Federal Poverty Guidelines.

Qualification Procedure

Qualification Procedure

Current local photo identification

Social Security Card

Proof of Residence, such as utility bill, lease agreement, etc.

Proof of all household income*

Patient Fees

Patient Links

Important Numbers

Impact For Your Inbox!