Sliding Fee Discount Program
There are many people in our community that do not have health insurance, and there are many in our community who have health insurance, but are still struggling with their portion of health care costs.
We are dedicated to providing a comprehensive set of primary medical and dental care services for patients.
Sliding Fee Program
The sliding fee program allows us to reduce or “slide” the fees for the care of you or your family at CHC/SEIA. You may apply for the program during an appointment to see if you qualify for a discount. Eligibility is based on:
If your family size or income changes, you may re-verify at any time throughout the year.
In order for an application to be reviewed, persons applying must provide documentation:
W2 or W9
Social Security Benefits
Workers Compensation benefits
Veterans benefits (FIP;etc.)
Military family allotments
Most recent tax return
How can I Apply
Once you become a patient at CHC/SEIA, a Patient Service Representative will be available to meet with you at your visit to help you enroll in the Sliding Fee Program.
What can I bring for proof of income?
At least one consecutive MONTH of most recent paycheck stubs
Current personal income tax return
Unemployment benefit statement
Social Security (SSI) or Disability Income Statement
Other documentation of Income
How much do I owe?
The amount of discount depends on your family size and income. We encourage patients to make regular payments at the time of your visit.
Can I apply for the Sliding Fee Program if I have insurance?
Yes, you can still apply for a discount. The discount will then be applied after any insurance payments. This includes private insurance and Medicare.