Ask Arthur

When Arthur Nagel donated the funds for the clinic, he changed the face of healthcare in Bandera County.  To honor his memory, Ask Arthur answers the questions you may have about the clinic

What is the Arthur Nagel Community Clinic?  It is the healthcare home for low-income, uninsured Bandera County residents.  Through this website and at community events, the clinic also provides opportunities for the whole community to learn about making healthy (or healthier) choices.  See the Calendar for details.

What do you mean by low income?  This table shows the income levels that the clinic treats.  Count the number of individuals who live in your house (you count, too!) and then look at the combined incomes of those people.  If that income is less than shown here, the clinic is able to provide care for you and the adults who live with you.

 

Number of people who live with you (adults and children) counting you! Is your household income less than?
1 $23,760
2 $32,040
3 $40,320
4 $48,600
5 $56,880
6 $65,160
7 $73,460
8 $81,780

Who owns the clinic?  The clinic is a registered nonprofit organization.  If you are interested in the details, it is a 501(c)(3) so gifts that support the clinic are tax deductible.  Although the clinic has a governing board of directors and a paid staff who plan and oversee clinic operations, the clinic belongs to the people of Bandera County.

Does the clinic report your information to the government?  No.  In fact, it is federal law, known as HIPAA (Health Insurance Portability and Accountability Act of 1996) that prohibits the clinic from providing information about you or your health to anyone without your permission.  And that happens only when the clinic sends you to see another doctor and they need your health information to give you the best possible care.  The clinic does report information to funders, but they are interested in statistics on things like how many patients came to the clinic, how many patients had diabetes, how many patients lost weight, etc.  Nothing the clinic reports can identify you.

Why doesn't the clinic treat children?  The State of Texas provides low cost opportunities for you to insure your child or grandchild.  See CHIP (Children's Medicaid) for information.

How does the clinic provide this care?  The clinic is funded by generous foundations, corporations, churches, and individuals (like Arthur Nagel) who care about the health of their friends and neighbors.  Patients also donate to support this resource for Bandera County residents.  After you receive care, you will be asked if you are able to make a donation to the clinic.

What happens if I need an x-ray?  The clinic does not have an x-ray machine.  You will be sent to Boerne, Kerrville, or San Antonio for care.  The clinic will make your appointment and pay for the first test.  You may be asked to pay a $5 x-ray fee to help offset the costs of your diagnosis.

What happens if I need a lab test?  The clinic has a small lab and will do some tests right here at the clinic.  Other times clinic staff may take a sample of your blood and send it to a larger lab for more comprehensive diagnosis.  Again, the clinic will make your appointment and pay for the first test.  You may be asked to pay a $5 lab fee to help offset the cost of lab tests.

Can the clinic help me with prescriptions?  That's a question that the clinic can't answer until we know what prescriptions you need.  Sometimes the clinic can get your prescription through its Prescription Assistance Program.  If not, the clinic will try and find the most inexpensive drug that will treat your problem.  Many prescriptions cost less than $10.  The clinic wants you get the right treatment for your health problem, and will work with you to figure out the best solution for you. 

In 2015, the Prescription Assistance Program provided more than $1 million in prescriptions to clinic patients.  If this program can locate your drug, you may be asked to pay a $5 prescription fee to offset the cost of staff finding a pharmaceutical company that will donate your prescription.  You do not pay anything if the healthcare provider writes you a prescription for an inexpensive drug.  The clinic does not provide narcotics for patients.  If you need these medications, the clinic will refer you to another program that can better address your healthcare needs.

Want to know more?  Send your questions to Ask Arthur.

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