San Antonio Community Resource Directory
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

Our Mission Statement

Big Bend Regional Hospital District is a bi-county hospital district that serves Brewster and Presidio County.  The management, control, and administration of all funds and resources of the District are vested in the Board of Directors. Our primary mission is to provide indigent health care to the needy residents of the area in a cost-effective manner.

​History

The District was created by acts of the 72nd Texas Legislature in 1991 when the Brewster County Hospital District and the Presidio County Hospital District were merged into the current Big Bend Regional Hospital District. The 80th Texas Legislature consolidated and codified previously enacted legislation to create the existing enabling legislation of the District.   
 
The District was created to provide hospital and medical services for needy residents of the District, a charge that is the primary mission of the hospital district.
 
On October 1, 2014 the District took over the administration of the medical program and implemented the Presidio-Brewster County Indigent Healthcare Program (PBCIHP). The processing of applications and administration of the program were all brought in-house to better serve county residents.  

In 2022, the District rebranded its assistance programs and launched Big Bend Health. Big Bend Health provides comprehensive medical coverage to eligible residents of Brewster and Presidio Counties through a network of local and regional medical providers.

Monday through Friday, 9:00 AM - 5:00 PM Closed weekends and holidays.
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

Big Bend Health provides comprehensive medical coverage to eligible residents of Brewster and Presidio Counties through a network of local and regional medical providers.

Services offered include

  • Medical Program
  • Prescription Plan
  • Rx Grant

Click here for more information on services.

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility—eligibility is always done on a case-by-case basis. 

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

Big Bend Health provides comprehensive medical coverage to eligible residents of Brewster and Presidio Counties through a network of local and regional medical providers.

Services offered include

  • Medical Program
  • Prescription Plan
  • Rx Grant

Click here for more information on services.

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibilityeligibility is always done on a case-by-case basis. 

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

The Medical Program of Big Bend Health provides comprehensive coverage for preventative and emergency medical care for eligible residents of Brewster and Presidio Counties. 

  • For low-income and low-resource county residents
  • $30,000 maximum annual benefit
  • Includes preventative dental (annual check up and cleaning) and vision coverage (bi-annual check up and pair of glasses)
  • Limited medical supplies such as wheelchairs, cane, diabetic supplies, etc.
  • Can provide retroactive coverage up to 3 months prior to application to pay for emergency medical bills 
  • Must meet income and resource/asset eligibility limits

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility—eligibility is always done on a case-by-case basis. 

Click here for an application.

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

The Prescription Assistance Program of Big Bend Health provides coverage for medications for eligible residents of Brewster or Presidio County that have Medicare medical coverage, but no coverage for medications (Part D). 

  • For low-income and low-resource county residents
  • Annual benefit of $5,000 in medications with a $5.00 co-pay per medication
  • Must meet income and resources eligibility requirements

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility—eligibility is always done on a case-by-case basis. 

Click here for an application.

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

The RX Grant program of Big Bend Health provides free medication for low- and mid-income residents of Brewster or Presidio County for many of the more expensive medications.

  • Low- to mid-income requirements (eligibility varies depending on medication)
  • Easy application process
  • Typically a 3-month medication supply will be mailed to residence or provider office

Click here for a list of covered medications. 

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility—eligibility is always done on a case-by-case basis. 

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year
Notice

The Presidio Brewster County Indigent Health Care Program is now Big Bend Health. BBRHD has consolidated all of its assistance programs under one name to better serve district residents.

Big Bend Health provides comprehensive medical coverage to eligible residents of Brewster and Presidio Counties through a network of local and regional medical providers.

Services offered include

  • Medical Program
  • Prescription Plan
  • Rx Grant

Click here for more information on services.

You must be a resident of Brewster or Presidio County to be eligible for our programs and be categorically ineligible for Medicaid. All of our programs have income and asset/resource limits and are generally designed for low- and mid-income residents. There are a number of exclusions and deductions that can apply for individuals, so there is no easy answer to determine eligibility—eligibility is always done on a case-by-case basis. 

The only cost for Big Bend Health programs is a $5.00 co-pay for medications. All covered medical procedures or doctor visits are at no cost to the client.

Updated within the last year