WVHA HealthCard Program

What are the qualifications?
You must live in West Volusia for at least three months (one month for homeless). Your income must be below, equal or up to 150% of the Federal Poverty Level Guidelines for your family size.

What are the benefits of using The WVHA HealthCard?

$0 Clinic visits
$0 Prescription medicines
$50 Emergency room visits
$10 Specialist visits
$50 Hospital services
$10 Imaging services
$25 Urgent care


How Can I Get a WVHA HealthCard?

You must complete an application and provide the following documents:

  • Proof of residency Two (2) forms of identification – One (1) must be a picture ID
  • Proof of Income/Assets
  • Proof of Medicaid Application or Medicaid Application Denial Letter
  • Proof of Affordable Care Act (Healthcare.gov) Application

Required HealthCard Forms

Form One: HealthCard Application Form 

All members of the Household may apply through the same application. Please indicate all applicants in Section 2 “Members of the Household.”

Form Two: HealthCard Assessment Form

Please complete this form in its entirety. This form must be completed by all applicants over 18, including legal spouses who are not applying.

If you would like a copy of your entries on either form, print a copy or to save a copy to your computer, click Print and then save as a PDF BEFORE YOU PUSH SUBMIT.

Push submit to have your completed forms emailed to The House Next Door. They will call you to schedule an appointment.

Formularios requeridos en español

Formulario Uno: Solicitud de tarjeta sanitaria de WVHA
Formulario Dos: Formulario de evaluación de la tarjeta sanitaria de WVHA

Where Can I Get Assistance with My Application for the WVHA HealthCard?

The House Next Door
840 Deltona Boulevard, Suite K
Deltona, FL 32725
9 am – 5 pm (by appointment only)
To schedule an appointment call:
(386) 232-2055, ext. 3201 or 3206

The House Next Door
114 S Alabama Avenue
DeLand, FL 32724
9 am – 5 pm (by appointment only)
To schedule an appointment call:
(386) 232-2055 Ext. 1109 or 1122

west volusia hospital authority

Contact Us


Stacy Tebo, WVHA Administrator

Email Us



P.O. Box 940, DeLand, FL 32721-0940


(386) 626-4870


(386) 854-7618