The Sliding Fee Discount Program (SFDP) is based upon services rendered and has four-discount pay classes between 100% and 200% or less of the Federal Poverty Guidelines (FPG).
To apply, please schedule an appointment with a Care Navigator in either Whitewater, Watertown, or Fort Atkinson. You will need to bring identification that includes name and birth date, and proof of income for each household member over the age of 18. Household members are related by blood, marriage or adoption, and legally financially responsible to each other.
Acceptable Documentation Includes:
If you receive any of the following, you will also need to bring a copy of your annual benefit(s) letter or one month’s worth of checks:
Your Care Navigator will work with you to verify your earnings and complete your application. All patients without insurance are financially screened prior to making an appointment.
Frequently Asked Questions on the Sliding Fee Discount Program
Paying your bill is important, but not as important as your health! If you are having trouble making a payment, understanding your bill, or need assistance setting up an affordable payment plan, please call our main office (Whitewater): (262) 472-6839.
Payment plan options are available for ALL employees, including patients enrolled in the Sliding Fee Discount Program.
Fort Memorial Hospital - Rock River Community Clinic
1461 West Main Street, Suite B, Whitewater, WI 53190
611 Sherman Avenue East,
Fort Atkinson, WI 53538
(262) 472-6839
©2022 Rock River Community Clinic
©2022 Rock River Community Clinic