GSO RESOURCES

Welcome to the Guilford Community Care Network

The Guilford Community Care Network (GCCN) helps you get the medical care you need. We do this through a group of doctors, pharmacies and other health care related agencies that offer services for low income, uninsured adults in Guilford County.

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ELIGIBILITY CRITERIA

The Guilford Community Care Network provides access to medical
homes and care coordination to the uninsured of Guilford County.
If you answer Yes to ALL 4 below, then speak with a GCCN eligibility and
enrollment person (at the Greensboro and High Point Department of Social Services)
who will explain the program and determine if you qualify.
1.You do not have a regular primary care doctor (Medical Home).
2.You are not eligible for state or federally sponsored health insurance
 including the ACA Health Insurance Marketplace (Exemption Required),
 Medicare, Medicaid (except a Family Planning Waiver) or Veteran’s
 Administration.
3. You live in Guilford County (only). (min. 3 months, 6 months preferred)
4. Your annual income is between 0-200% of the federal poverty level.
You are first required to see if you are eligible to enroll in the ACA Health Insurance Marketplace
if you are over 100%FPL, before enrolling into the GCCN (exemption required)
www.healthcare.gov; 1-800-318-2596
GCCN Information Line (336) 272-1050 ext. 6100 

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Eligibility Requirements

(Please bring these items to your eligibility & enrollment appointment.)

• Proof of ACA Health Insurance Marketplace Exemption Form/Documentation (if over 100%FPL);

• Valid Photo ID such as driver’s license, state identification card, passport, or identification from home

• country.

• Proof of Guilford County Residency (min. 3 months, 6 months preferred):

• NC Driver’s license,

• learner’s permit or state issued ID; bank statement with name and address; current utility bill with name and

• address; NC voter registration card; current Social Services check or letter; current County/City billing

• statement; lease agreement with the address of the residence, your name and your landlord’s name and

• address or mortgage statement; pay stubs with your name and address. If you are homeless, your shelter

• must give us a letter, on letterhead, stating that you stay at the shelter.

• Proof of Income: (Bring all that apply.)

• 1040/Last year’s tax return

• W2

• Notarized Schedule C for self-employment verification (Each eligibility and enrollment site has a notary

• on staff.)

• 1099

• At least (4) current pay stubs

• (Form 4506-T) if taxes were not filed the previous year

• Other income: social security, unemployment, child support, workmen’s compensation (award letters)

• Food Stamp Award Letter (if receiving assistance) (for informational purposes ONLY)

• Notarized Letter of Support (if you have no income and receive shelter from an individual/

• organization)

• Proof of Assets: (Bring all that apply.)

• Current bank statement (checking, savings, CDs, etc.)

• Three of your most recent bank statements if you are living on savings

• Life Insurance Info (Case Value/Company Name); Pension, 401-K, IRA, Gross Amount, etc.

• Tax value on autos, property, houses, mobile homes, etc. (for informational purposes ONLY)

• Disability paper work (if you have applied) showing status (copy of Award Letter) 

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Renewing Your Orange Card
To renew, you must fill out an application and meet the eligibility requirements. (Please call (336) 895-4900 for eligibility and enrollment information.)

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Patient Responsibility

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