Please note. This guide shares general information only. It is not legal, financial, tax or professional advice. Laws vary by state and city. For advice about your situation, talk with a licensed professional.
Hi friend. Taking care of your body and your mind is never selfish. It's how you keep going for yourself and the people who love you. I'm so glad you're here.
Here is the easy first step: if you need a doctor and money is tight, look up a community health center near you. They see people with or without insurance. And if you're hurting inside right now, you can call or text 988 any time.
A few things to know
- You choose. Use what feels right for you and skip anything that doesn't.
- Each place decides who it can serve. We share what each place says it offers and how to reach it. We can't promise care, coverage or a spot in any program.
- This guide is not medical advice. For questions about your health, talk with a doctor or nurse.
- In danger right now? Call 911. Thinking about suicide or in crisis? Call or text 988.
Community health centers are a great place to start. HRSA says health centers serve people with limited or no health insurance, and many use a sliding fee scale based on income.
That means the less you earn, the less you pay.
The federal Find a Health Center tool from HRSA shows centers near you by ZIP code. HRSA says it funds about 1,400 health centers that run more than 16,200 service sites.
How to find a clinic, step by step
- Go to findahealthcenter.hrsa.gov and type your ZIP code, or dial 211 and ask for a community health center.
- Call the center and say you don't have insurance and want to ask about the sliding fee.
- Ask what to bring to prove your income, like a pay stub or a letter.
- Ask if they also have dental care, a pharmacy or counseling.
- Ask if someone there can help you apply for Medicaid, CHIP or other coverage.
- Write down your appointment day and time.
What to say when you call
"Hi. I need to see a doctor, and I don't have insurance."
"Do you have a sliding fee? What should I bring?"
"Do you have dental care or a pharmacy here too?"
"Can someone help me apply for Medicaid, CHIP or other coverage?"

Your county health department can help
If you don't know where to start, dial 211 and ask for a community clinic or your county health department near you. They can tell you what's close by. Easy peasy!
How do I apply for Medicaid in Texas?

In Texas, Medicaid and CHIP are run by Texas Health and Human Services (HHSC). Texas Medicaid has programs for children, pregnant women, some parents and caretakers, and people with disabilities, so it's worth checking even if you're not sure.
- Apply online at Your Texas Benefits, https://www.yourtexasbenefits.com/Learn/Home or with the Your Texas Benefits app.
- Questions about your application? Call 211.
- Medicaid for Parents and Caretakers is for some adults with limited income who care for a child who has Medicaid.
Source (As of October 22, 2026): https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-programs-services/programs-children-adults-disabilities/programs-children-families
Before you apply, gather what you can
What about health coverage for kids?
HHSC has two main programs for kids.
- Children's Medicaid is for children in families with low incomes. It covers checkups, dentist visits, medicine and vaccines.
- CHIP, the Children's Health Insurance Program, is for children whose families earn too much for Children's Medicaid but can't afford insurance. HHSC says to apply for Medicaid, and it will check whether your child qualifies for CHIP.
- If your child has a disability, ask about Medicaid for Children and Adults with Disabilities, and the Medicaid Buy In for Children if your family earns too much.
Source (As of October 22, 2026): https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-programs-services/programs-children-adults-disabilities/programs-children-families
Asking for help with your health is one of the bravest, smartest things you can do. Your health matters, friend.
From the Bunklow team
Where can I get help for mental health?

If you're feeling down, anxious, or overwhelmed, you don't have to carry it alone.
- In a crisis, call or text 988, or chat at 988lifeline.org. It's at no cost, private and open 24/7, for you or for someone you love.
- For ongoing care, every Texas county is served by a local mental health authority. HHSC says their crisis lines are open 24/7 and include a prompt face to face crisis assessment, crisis help and follow up. The county list later in this guide shows the number for yours.
- You can also call or text 211 Texas for help finding services.
- Community health centers often have counseling too. Ask when you call.
Source (As of October 22, 2026): https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Where can I get help for alcohol or drug use?
SAMHSA's National Helpline is at no cost, private and open 24/7, 365 days a year, in English and Spanish. They can refer you to local treatment, support groups and community groups.
Call 800.662.4357.
- You can also search for treatment near you at findtreatment.gov.
- Your local mental health authority or a community health center can also help you find care near you.
Source (As of October 22, 2026): https://www.samhsa.gov/find-help/helplines/national-helpline
Say you want to cut back on drinking
Say you've been drinking more than you want to, and you're ready to talk to someone. You could call the SAMHSA National Helpline at 800.662.4357. SAMHSA says the line is at no cost and private and can point you to local treatment and support groups.
You could also call your county's local mental health authority and ask about treatment near you.
This is an example to show how it can work. It is not about a real person, and every situation is different. Source (As of October 22, 2026): https://www.samhsa.gov/find-help/helplines/national-helpline

Write your questions down
Before a visit, jot down your questions and any medicines you take. It's so easy to forget once you're in the room. A little list goes a long way!
Can I buy health insurance if I don't get Medicaid?
Texas uses HealthCare.gov, the federal health insurance marketplace. You can see if you qualify for savings on a plan.
Trained staff can help you enroll by phone, 24 hours a day, 7 days a week, except holidays. Call 800.318.2596.
Source (As of October 22, 2026): https://www.healthcare.gov/contact-us/
Is there no cost health care for women in Texas?
Yes. Healthy Texas Women offers women's health and family planning services at no cost to women who qualify.
Here's who can apply, per the program's site.
- Women ages 18 to 44. Ages 15 to 17 can get it if a parent or legal guardian applies for them.
- A U.S. citizen or qualified immigrant who lives in Texas.
- No health insurance, and not pregnant.
- Income at or under the program limit. As of March 1, 2026, that's $2,716 a month for one person, $3,682 for two, $4,649 for three and $5,616 for four.
- Women who meet these rules and were pregnant in the past 12 months can get Healthy Texas Women Plus services.
Services include yearly exams, family planning, and disease screenings and treatment. There's also a no cost breast and cervical cancer screening program for women who qualify.
Source (As of October 22, 2026): https://www.healthytexaswomen.org/healthcare-programs/healthy-texas-women/htw-who-can-apply
Can I see a doctor without insurance?
Yes. HRSA says health centers serve people with limited or no insurance. Find one at findahealthcenter.hrsa.gov.
How much does it cost to apply for Medicaid or CHIP?
Nothing. Applying is at no cost.
How do I find mental health care in my county?
Call your local mental health authority. The numbers are in the county list in this guide.
Is 988 only for suicide?
No. 988 is for anyone facing emotional distress, mental health struggles, or alcohol or drug concerns, and for people supporting someone they love.
Is the SAMHSA helpline at no cost?
Yes. SAMHSA says its National Helpline is at no cost, private and open 24/7, 365 days a year.
Federal help (works in every state)
Here are some places to start.
988 Suicide and Crisis Lifeline
What it offers No cost, private support 24/7 for anyone facing emotional distress, mental health struggles or alcohol or drug concerns, and for people supporting someone they love.
How to reach Call or text 988. Chat at https://988lifeline.org/
Source https://988lifeline.org/
Last checked October 16, 2026
SAMHSA National Helpline
What it offers No cost, private treatment referral and information, 24/7, 365 days a year, in English and Spanish, for mental health and substance use.
How to reach Call 800.662.4357. Search treatment at https://findtreatment.gov/
Source https://www.samhsa.gov/find-help/helplines/national-helpline
Last checked October 16, 2026
Find a Health Center (HRSA)
What it offers A federal tool to find community health centers near you. Health centers serve people with limited or no insurance.
How to reach Search by ZIP code at https://findahealthcenter.hrsa.gov/
Source https://findahealthcenter.hrsa.gov/
Last checked October 16, 2026
Other local groups may also help.
Texas
Here are some places to start.
Texas local mental health crisis lines
What it offers Every Texas county has a 24/7 crisis line run by its local mental health authority, with crisis assessment and follow up. Harris: 866.970.4770. Dallas: 866.260.8000. Tarrant: 800.866.2465. Bexar: 800.316.9241. Travis: 512.472.4357. Collin: 877.422.5939. Denton: 800.762.0157. Hidalgo: 877.289.7199. El Paso: 877.562.6467. Fort Bend: 800.633.5686.
How to reach See every county at https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Your Texas Benefits
What it offers Apply online for SNAP food benefits, Medicaid, CHIP and other help from Texas Health and Human Services, and manage your case.
How to reach Apply at https://www.yourtexasbenefits.com/Learn/Home
Source https://www.yourtexasbenefits.com/Learn/Home
Last checked October 16, 2026
211 Texas
What it offers A no cost service from Texas Health and Human Services that connects people with food, housing, mental health, benefits and other help. You can also chat online in English or Spanish.
How to reach Dial 211 or 877.541.7905. Search at https://www.211texas.org/
Source https://www.211texas.org/
Last checked October 16, 2026
HealthCare.gov (health insurance marketplace for Texas)
What it offers Shop for health plans and see if you qualify for savings. Trained staff can help you enroll.
How to reach Call 800.318.2596, 24 hours a day, 7 days a week, except holidays. TTY: 855.889.4325.
Source https://www.healthcare.gov/contact-us/
Last checked October 16, 2026
Healthy Texas Women
What it offers Women's health and family planning services at no cost for women who qualify, plus no cost breast and cervical cancer screening for those eligible.
How to reach Learn more and find a doctor at https://www.healthytexaswomen.org/
Source https://www.healthytexaswomen.org/healthcare-programs/healthy-texas-women/htw-who-can-apply
Last checked October 16, 2026
Other local groups may also help.
Harris County (Houston)
Here are some places to start.
The Harris Center for Mental Health and IDD (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 866.970.4770. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Dallas County
Here are some places to start.
North Texas Behavioral Health Authority (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 866.260.8000. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Tarrant County (Fort Worth)
Here are some places to start.
MHMR of Tarrant County (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 800.866.2465. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Bexar County (San Antonio)
Here are some places to start.
The Center for Health Care Services (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 800.316.9241 or 210.223.7233. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Travis County (Austin)
Here are some places to start.
Austin Travis County Integral Care (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 512.472.4357. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Collin County
Here are some places to start.
LifePath Systems (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 877.422.5939. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Denton County
Here are some places to start.
Denton County MHMR Center (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 800.762.0157. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Hidalgo County
Here are some places to start.
Tropical Texas Behavioral Health (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 877.289.7199. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
El Paso County
Here are some places to start.
Emergence Health Network (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 877.562.6467. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Fort Bend County
Here are some places to start.
Texana Center (local mental health authority)
What it offers The state funded local mental health authority for your county. Its crisis line is open 24/7, with a prompt face to face crisis assessment, crisis help and follow up.
How to reach Crisis line: 800.633.5686. Or call or text 988.
Source https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-crisis-services
Last checked October 16, 2026
Other local groups may also help.
Bring to your first visit, if you can
My health plan
Fill this in with a pen, or snap a photo and keep it on your phone. You've got this!
My care
Calls I made
Key numbers to keep

Please let me know if you have any questions
If something in this guide is out of date, tell us and we'll fix it. Take good care of you. Make it a great day, friend!

About this guide
Made by the Bunklow team. No sign up, no paywall, no cost. Please share it with anyone who could use it. Bunklow does not run these programs and cannot speak for them. We list what each place says it offers and how to reach it, and you decide what to use. This is not a full list of every place that can help. Every source was checked on October 16, 2026. If something has changed, please tell us so we can fix it. We are always happy to hear from you!
Please note. This guide shares general information only. It is not legal, financial, tax, medical or professional advice. Laws vary by state and city. For advice about your situation, talk with a licensed professional.
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