Rural Health Care Inc.
Assuring access to quality health care

 

 

Our Sliding Fee Program offers reduced prices on office visits and all other services provided in the clinic to all individuals and families who qualify. 

The Sliding Fee Program is based on family income and may reduce your bill 20% or more. You may qualify with or without insurance and you may qualify even though you have Medicare or Medicaid. If you have private insurance that will be billed first and then the sliding fee program will take effect. To see if you are eligible, refer to the table below. Find your family size and your family's annual to find out what amount you qualify for.

 

SLIDING FEE SCHEDULE

BASED ON INCOME GUIDELINES PUBLISHED January 23th, 2008

FAMILY

You Pay 0%
if your income is

You Pay 20% if  your income is

You Pay 40%
if your income is

You Pay 60%
 if your income is

You Pay 80%
 if your income is

You Pay 100%
if your income is

SIZE

  From

To

    From

To

    From

To

    From

To

    From

To

    From

To

1

$  0 

    $10,400

$10,401

$13,00

$13,001

$15,600

$15,601

$18,200

$18,201

$20,800

$20,801

and over

2

$  0 

$14,000

$14,001

$17,500

$17,501

$21,000

$21,001

$24,500

$24,501

$28,000

$28,001

and over

3

$  0 

$17,600

$17,601

$22,000

$22,001

$26,400

$26,401

$30,800

$30,801

$35,200

$35,201

and over

4

$  0 

$21,200

$21,201

$26,500

$26,501

$31,800

$31,801

$37,100

$37,101

$42,400

$42,401

and over

5

$  0 

$24,800

$24,801

$31,000

$31,001

$37,200

$37,201

$43,400

$43,401

$49,600

$49,601

and over

6

$  0 

$28,400

$28,401

$35,500

$35,501

$42,600

$42,601

$49,700

$49,701

$56,800

$56,801

and over

7

$  0 

$32,000

$32,001

$40,000

$40,001

$48,000

$48,001

$56,000

$56,001

$64,000

$64,001

and over

8

$  0 

$35,600

$35,601

$44,500

$44,501

$53,400

$53,401

$62,300

$62,301

$71,200

$71,201

and over

9

$  0 

$39,200

$39,201

$49,000

$49,001

$58,800

$58,801

$68,600

$68,601

$78,400

$78,401

and over

10

$  0 

$42,800

$42,801

$53,500

$53,501

$64,200

$64,201

$74,900

$74,901

$85,600

$85,601

and over

 

To apply, submit the following:

A copy of the front page of your most recent income tax return or a copy of your last two most recent pay-stubs, if you didn't file an income tax return.

A completed Sliding Fee Program application. Applications are available at any of our clinic locations - just inquire at the front desk. All information we receive from you is strictly confidential and in compliance with HIPPA regulations and will be processed immediately.

If you have any questions, please ask any of our staff.

Download Sliding Fee Application by clicking the link below.

Sliding Fee Application

 

Sliding Fee Application