JPS Connection



Patients, visitors, and staff are required to wear a mask at all times, regardless of vaccination status.
Please note: Visitors or patients wearing a mask with a valve will be asked to wear a hospital mask while they are at JPS.

Click here to view holiday clinic hours.


As Tarrant CountyÔÇÖs community health network, JPS Health Network wants to make sure that all residents of our county have a medical home to keep them healthy. We understand that sometimes life throws curve balls. Many people experience a time in their life when the cost of medical care seems overwhelming. ThatÔÇÖs why JPS provides a number of different assistance programs. By enrolling in the JPS Connection program, you and your family can see JPS doctors for regular check-ups, specialists for your specific health concerns, and even get your prescriptions filled at low cost.

As of October 2013, the federal Affordable Care Act provides health insurance for many people who could not afford it before. But the Affordable Care Act, often called Obamacare, does not cover everyone and many of the new insurance plans have high deductibles and coinsurance costs.  If you are eligible to sign up for insurance at work or under the Affordable Care Act ( and,) you should do so.

Click here for information about Affordable Care Act Plans.

If you have questions regarding the application process, required documents or membership benefits, contact JPS Enrollment and Eligibility at 817-702-1001, or send an e-mail to





JPS Health Network offers four JPS Connection programs for those who qualify:

  • JPS Connection
    • ÔÇïÔÇïProvides assistance to patients without health insurance
  • JPS CARES Program
    • ÔÇïÔÇïProvides assistance to patients without health insurance and experiencing homelessness
  • JPS Connection Supplemental to Medicare
    • Provide assistance to patients with Medicare Part A&B or a Medicare Plan contracted with JPS Health Network.
  • JPS Connection Supplemental to Insurance
    • Provide assistance to patients with a primary insurance plan that is contracted with JPS Health Network.

Get yourself and your family connected with regular medical care through JPS Connection. JPS Connection provides affordable access to healthcare with inexpensive co-pays for doctor appointments, specialized care and prescriptions. Protect your familyÔÇÖs health and finances by applying for JPS Connection today.


Membership Re-Enrollment

Like most memberships, JPS Connection expires each year and does not automatically renew. It is important to renew your membership a few weeks before the expiration date. Call 817-702-1001.


Member Responsibilities

You must provide true and accurate documentation. Misrepresentation of facts or providing fraudulent information is a crime punishable under state and federal law.

JPS Connection is the payor of last resort, meaning that if you are eligible for state, federal or pharmaceutical assistance programs, you need to seek that assistance first. A JPS Eligibility and Enrollment specialist can help you apply for the appropriate programs during your screening appointment.

As a JPS Connection member, it is your responsibility to notify the Eligibility & Enrollment department of any change in residence, household income, employment, family size or insurance coverage. Call 817-702-1001 to report changes to your status. Failure to do so will cause a suspension of membership benefits.

Your JPS Connection membership is only valid at JPS Health Network locations. Do not expect member benefits at other hospitals, health centers or physician offices.



If you qualify for health insurance under the Affordable Care Act, you must sign up for insurance before you apply for JPS Connection. JPS can help you. If you need help applying for insurance, talk to an Eligibility and Enrollment specialist. Find an Eligibility and Enrollment specialist near you.

When you apply for JPS Connection, you will need to meet the basic minimum requirements and will and will need to know how much money you make. This includes income from your paycheck, your spouse's paycheck, child support payments, investments, assets, income from side jobs, and any income coming into the household.


JPS Minimum Requirements
  • Tarrant County Resident
  • US Citizen, Naturalized Citizen, or Legal Permanent Resident
  • Pursue all available health insurance options prior to receiving JPS Connection assistance
  • Meet income guidelines


JPS Connection Maximum Income Levels

2021 Federal Poverty Income Levels




Applying is as easy as 1, 2, 3. Just use our simple three-step process to enroll.


  1. Fill out the application
  2. Gather your required documents
    • Picture ID for all applicants (Government Issued, School, and Work)
    • Immigration Documentation (Resident Alien Cards, Passports, Certificate of Naturalization, I-94, Birth Certificates)
    • Birth Certificates for all child dependents
    • Shelter Letter, Approved Agency Residence Letter, or Valid Homeless Scan Card
    • Agency award letters (Food Stamps, TANF, Housing, CHIP/Medicaid, RSDI, SSI, etc.)
    • Completed Application (Incomplete applications are not be accepted)
    • Application signed and dated by applicant and spouse
    • Complete and sign form 4506T
    • Review, initial, and sign the Membership Responsibility Form
    • Homeowners, self-employed, or clients receiving Social Security must provide a current 30 day bank statement for all accounts.
    • Proof of Income for all household members (Paycheck Stubs, Award Letters, Financial Aid Refund, Self-Employment Forms, etc.)
  3. Submit application and documents
    • Drop off your application and documents at a JPS Enrollment & Eligibility Center or use one of the following methods.
           Fax: 817-702-3834
           Mail to: JPS Enrollment & Eligibility Center
                            1325 S. Main Street
                            Fort Worth, TX 76104



We are pleased to announce that we are now accepting online renewal applications for the JPS Connection program.

You can begin the renewal process by clicking this link:

You will need your medical record number to complete your online renewal. If you do not know your medical record number, please contact us. If you receive an error message after submitting your online renewal, this unfortunately means that you are not eligible to renew online at this time. You can download a copy of our application in the section above titled Apply for JPS Connection.

Please contact us at 817-702-1001 if you have any questions or concerns.



JPS Health Network offers Financial Assistance to eligible individuals. We serve the emergency health care needs of all patients, regardless of ability to pay. You can obtain an application and additional information regarding our Financial Assistance from any of the sources below:

  • Phone an Eligibility & Enrollment specialist at 817-702-1001 between the hours of 8:00 am and 5:00 pm.
  • Download and complete the application from JPS Health Network website at
  • Write or visit the Eligibility & Enrollment Department at 1325 S. Main Street, Fort Worth, TX 76104.

Determination of eligibility for the Financial Assistance Program is made based on review of a completed application, minimum requirements for assistance: Tarrant County Resident, US Citizen or Legal Permanent Resident, meet income guidelines and not be eligible for any State or Federal funded program.

The Financial Assistance Program applies to all JPS Health Network locations, assistance might also be available for prior visits.

Patients and families will not be charged more for Emergency or other medically necessary care than Amounts Generally Billed (AGB) to those patients who have insurance.

Financial Assistance forms or applications are available in Eligibility Department, Registration areas, and in the Emergency Department. Translation services/arrangements are available upon request.


Financial Assistance Policy
Financial Assistance Procedure