The sliding discount is a formula used to determine the availability of reduced charges to patients who qualify according to the number in the family and the average monthly income of the family. The scale is as follows (effective as of 4 -1 -2003):
Family Size
100%
75%
50%
25%
0%
1
$0-$748
$749-$1122
$1123-$1309
$1310-$1496
$1497 or more
2
$0-$1010
$1011-$1515
$1516-$1768
$1769-$2020
$2021 or more
3
$0-$1271
$1272-$1907
$1908-$2224
$2225-$2542
$2543 or more
4
$0-$1533
$1534-$2300
$2301-$2683
$2684-$3066
$3067 or more
5
$0-$1795
$1796-$2693
$2694-$3141
$3142-$3590
$3591 or more
6
$0-$2057
$2058-$3086
$3087-$3600
$3601-$4114
$4115 or more
7
$0-$2318
$2319-$3477
$3478-$4057
$4058-$4636
$4637 or more
8
$0-$2580
$2581-$3870
$3871-$4515
$4516-$5160
$5161 or more
9
$0-$2841
$2842-$4262
$4263-$4972
$4973-$5682
$5683 or more
10
$0-$3103
$3104-$4655
$4656-$5430
$5431-$6206
$6207 or more
11
$0-$3365
$3366-$5048
$5049-$5889
$5890-$6730
$6731 or more
12
$0-$3626
$3627-$5439
$5440-$6346
$6347-$7252
$7253 or more
13
$0-$3888
$3889-$5832
$5833-$6804
$6805-$7776
$7777 or more
14
$0-$4150
$4151-$6225
$6226-$7263
$7264-$8300
$8301 or more
WHO CAN QUALIFY ?
The sliding fee is a discount of charges for those who either have no insurance or who have insurance but have a high deductible. Also, it is for those whose insurance does not cover provided services. Regardless of whether you have insurance or not, you must still meet the income guidelines.
HOW DO I QUALIFY ?
To qualify for the sliding discount, you must fill out a form (these can be picked up at any of the offices, or can be printed online by following this link (ONLINE SLIDING DISCOUNT FORM ) and you must bring that formand proof of income into any of our offices. The proof of income can be a paycheckstub or a W-2. Paychecks can bedeceiving since you may make more some pay periodsthan others. If you pay differs from month to month, bring in several pay stubs andwe will average those.
If you have insurance and still meet the income guidelines, you may still qualify.If your insurance does not pay for the covered services or if you have a high deductible, you may qualify to have part of your payment reduced.
The Sliding Discount does not mean you owe nothing for your visit. It provides a cost savings to those who qualify to have costs reduced, 25%, 50%, or 75%. A minimum payment of $10 per visit is expected at time of services. While we are not a free clinic, we are able to provide reduced costs to those who qualify while providing quality health care to all.
HOW TO READ THE SLIDING DISCOUNT SCALE
Step 1:
Locate the row corresponding to the number of individuals in your family.
Step 2.
Move to the right until you find the range containing your average monthly income.
Step 3.
Go to the top of that column. The percentage shown is the discount on your portion of the bill.
