The Sliding Fee Discount Schedule (SFDS) is based upon services rendered and has four-discount pay classes between 100% and 200% or less of the Federal Poverty Guidelines (FPG).
Our clinic provides a full discount for services included in the primary care standards of care to patients at or below 100% of the FPG. The SFDS utilizes three discount pay classes for individuals and families with incomes above 100% FPG and up to 200% FPG. In addition, individuals and families with income over 200% FPG do not qualify for sliding fee discounts.
Federally Qualified Health Centers are community-based health care providers that receive funds from the HRSA Health Center Program to provide primary care services in underserved areas.
A program designed to reduce the cost of primary care for those who meet income requirements. These discounts are available to patients based on the guidelines provided annually by the federal government.
If you qualify, medical services provided in-house may be substantially discounted depending on eligibility.
Not all services are covered under the sliding fee program. Medical services provided “in-house” are eligible for a sliding fee discount. “In-house” refers to medical services provided at the clinic such as labs, x-rays, EKG’s, immunizations and office visits. Any specialty visits or diagnostics sent to reference labs or hospitals are not covered under the sliding fee program. For example, pathology specimens are not processed in house so you will be billed directly for those services.
You will need to submit an application and provide proof of total household income. We have applications available on site or on Rural Health Care’s website: ruralhc.net
Acceptable forms of income include your most recent income tax return, copy of your W-2, or 2 recent pay stubs (from all working members of the household.)
Yes, we ask that you reapply anytime there is a change in your household income.
Yes. Patients may apply whether or not they have other insurance coverage. If you are approved, the program can help with any remaining balance after insurance has been applied.
Yes, you may be eligible for a sliding fee. You will need to fill out an application and provide proof of income to be considered for the program.
Yes. All members living in the same household need to be listed on the application, whether related or not.
Yes, anyone over the age of 18 claiming “zero income” must sign a Zero Income Attestation.
A copy of your social security award letter or a copy of your bank deposit statement are
acceptable forms of proof of income.
No, it is not necessary to reschedule. As a FQHC, we see patients regardless of their ability to pay. You will still be responsible for the nominal fee but we are able to bill that to you for today’s visit.
Yes, as long as the application is received at the administrative office within 30 days of today’s visit. Discounts will be applied retroactively for a 30 day period.
You can mail the completed application to the address listed on the form or drop if off at the clinic. Typically, applications are reviewed within 3-5 days of receipt. You will receive a letter and welcome packet in the mail informing you of your discount, if applicable.
The application is approved on a yearly basis. You will need to reapply each year in order to utilize the program.
Yes, enrollment expires every year and a new application is required at that time.