Sliding Scale Fee

What is a Sliding Fee Scale?
We are a Federally Qualified Health Center (FQHC), which means we can offer a wide variety of services through the Sliding Fee Scale. The Sliding Fee Scale is in place to meet the needs of the uninsured or underinsured, providing reduced costs on all services for those who qualify.
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We offer the Sliding Fee Scale to all income-eligible uninsured or underinsured patients, based on annual household income, for all services. Income guidelines and acceptable verification for the Sliding Fee Scale are listed below.
How Do I Qualify?
To qualify for the Sliding Fee Scale, you must show proof of gross annual income for all immediate family members living in your household. Gross income is all income from all sources before taxes.
Disclaimer: This calculator provides an approximate estimate of fees based on household size and gross monthly income. It does not take into consideration additional factors such as insurance coverage, monthly supplemental income, or specific services received. Please see an Office Team Member for full details and accurate pricing.
Acceptable Income Verification
(For ALL Household Members)
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30 Days of Paystubs
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Tax Return or W-2 (most recent)
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Public Assistance or Social Security Award Letter
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Child Support Statement (most recent)
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Alimony Statement (most recent)
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Military Allotments
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Medical Assistance or Dept. of Social Services Certification Letter
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Railroad Retirement Statement (most recent)
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Rent & Royalties (paid to you)
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Dividends or Interest (paid to you)
To read more on our policy, click here.
Restrictions and requirements may apply. Please consult a Patient Access Representative for complete details and eligibility criteria.

You can still apply even if you have insurance!
(Useful for covering high deductibles or non-covered services).



