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Sliding Fee Program

Sliding Fee Discount Program

Sliding Fee Program 
The Sliding Fee Discount Program allows patients who have no health insurance or are under-insured to receive health care services at a lower cost. To be part of the program you must provide proof of income for your household. Your income has to be less than the current federal poverty level. The poverty level will depend on the number of people who live in the home and the amount of money they make all together. The discount for the "Sliding Fee Discount Program" varies but those who qualify and need the most help often can get significant discounts or services.

There are several simple steps required to apply for the program.

  • Complete the application by clicking here.

  • Provide copies of income for all eligible people living in your household (i.e. unemployment stubs, pay checks, etc.)

  • Click here for the Sliding Fee Program brochure to learn more. 

Services covered under the Sliding Fee Program include:

  • Family Medicine

  • Routine preventative exams

  • Well child care and immunizations

  • Diabetic Care

  • Physical exams

  • Gynecological care

  • Podiatry

What does the sliding fee scale mean for you?

As a Federally Qualified Health Center (FQHC), Upstate Family Health Center accepts all Medicare and Medicaid insurance plans, as well as most major insurances. The Sliding Fee Discount is in place to meet the needs of the uninsured or underinsured, providing reduced costs on most services for those who qualify. No one will be denied access to services at Upstate Family Health Center, as services are offered regardless of insurance status or ability to pay.

Sliding Fee Scale Program

We offer the Sliding Fee Discount to all income-eligible uninsured or underinsured patients, based on annual household income, for most services. Income guidelines and acceptable verification for the Sliding Fee Discount are listed below 

How do I qualify?

To qualify for the Sliding Fee Discount, 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. Applicants should provide a copy of any of the accepted income verification materials listed below.

Acceptable Income Verification

  •  Recent Federal Tax Return 

  •  IRS Form W-2 or 1099 

  •  Two (2) Current Pay Stubs 

You will need to apply for this program every year. Your discount will last 12 months. You will need to complete the same application and provide proof of income. 

How do I pay for my visit?

Our patients that qualify for our sliding fee discount can pay for each visit at the time of service. All forms of payment are accepted in our office, to include cash, check, debit and credit card.

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Notice to Patients:

Upstate Family Health Center serves all patients regardless of income or insurance status.

Discounts for essential services provided by Upstate Family Health Center are offered on a sliding fee scale basis adjusted for family size and income. 

Front desk personnel can assist you in applying, or you may apply directly by calling the clinic and asking for the patient outreach coordinator.

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