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FIND HELP NEAR YOU · TEXAS
GUIDE 7 · HEALTH AND MENTAL HEALTH
BunklowGuide 7: Health and Mental HealthDownload the PDF
A cannon in front of the Alamo church in San Antonio, Texas
FIND HELP NEAR YOU · TEXAS

Health and Mental Health

Guide 7 of 14

Real help, checked by hand. No sign up.

The short answer

In Texas you can apply for Medicaid and Healthy Texas Women at YourTexasBenefits.com, or get coverage through HealthCare.gov. This guide covers low cost clinics, mental health crisis lines for each county, and what to do in a crisis, including calling or texting 988.

As of October 22, 2026. Made by the Bunklow team.

BunklowAffordable living. Simplified

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.

988
In crisis?Call or text 988, 24/7.
FQHC
Health centersCare on a sliding fee.
MC
MedicaidApply at Your Texas Benefits.
SAM
Substance use?Call 800.662.4357.
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A few things to know

Where can I see a doctor if I don't have insurance?

Where can I see a doctor if I don't have insurance?

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

  1. Go to findahealthcenter.hrsa.gov and type your ZIP code, or dial 211 and ask for a community health center.
  2. Call the center and say you don't have insurance and want to ask about the sliding fee.
  3. Ask what to bring to prove your income, like a pay stub or a letter.
  4. Ask if they also have dental care, a pharmacy or counseling.
  5. Ask if someone there can help you apply for Medicaid, CHIP or other coverage.
  6. Write down your appointment day and time.
SAY IT LIKE THIS

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?"

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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?

Bluebonnets in the Texas Hill Country. Keep copies of your application and any letters.
Bluebonnets in the Texas Hill Country. Keep copies of your application and any letters.

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.

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.

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?

Talking to someone can make a hard day lighter.
Talking to someone can make a hard day lighter.

If you're feeling down, anxious, or overwhelmed, you don't have to carry it alone.

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.

Source (As of October 22, 2026): https://www.samhsa.gov/find-help/helplines/national-helpline

EXAMPLE

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

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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.

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

My health center and phone
My next appointment
Medicines I take
Medicaid or CHIP applied on
Counselor or support group
My county mental health authority phone

Calls I made

Who I called, and when
What they said
Call back on
Who I called, and when
What they said
Call back on

Key numbers to keep

✂ cut along the line and keep it with you
Any local help, 24/7211
Emergency911
Suicide and crisis, call or text988
SAMHSA National Helpline800.662.4357
HealthCare.gov800.318.2596
Harris Center crisis line866.970.4770
North Texas Behavioral Health Authority866.260.8000
MHMR of Tarrant County800.866.2465
Center for Health Care Services, Bexar800.316.9241
Integral Care, Travis512.472.4357
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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.

Affordable living. Simplified

Last updated October 16, 2026

Photo Credits

Every photo in this guide, listed by page. Changes we made are noted for each photo.

PagePhoto, author, license, source, changes
1Alamo On Guard
Danphotoman777
CC BY-SA 4.0 creativecommons.org/licenses/by-sa/4.0
commons.wikimedia.org/wiki/File:Alamo_On_Guard.jpg
Cropped, color fade added; print version lightened
2RD CFDL-Lytle Community Health Center, Community Facility Direct Loan (20171205-RD-LSC-0268)
USDA
Public domain creativecommons.org/publicdomain/mark/1.0
commons.wikimedia.org/wiki/File:RD_CFDL-Lytle_Community_Health_Center_-_Community_Facility_Direct_Loan_(20171205-RD-LSC-0268).jpg
Cropped, color fade added
4Field of bluebonnets in the Texas Hill Country, near Burnet
Carol M. Highsmith
Public domain creativecommons.org/publicdomain/mark/1.0
commons.wikimedia.org/wiki/File:Field_of_bluebonnets_in_the_Texas_Hill_Country,_near_Burnet_LCCN2014633101.tif
Cropped
5Hands holding a cup of coffee, Quebec City
Wilfredor
CC0 creativecommons.org/publicdomain/zero/1.0
commons.wikimedia.org/wiki/File:Hands_holding_a_cup_of_coffee,_Quebec_City.jpg
Cropped

Photos marked CC BY-SA are shared, as changed here, under that same license.

Photo credits

Photos marked CC BY-SA are shared, as changed here, under that same license.

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