Sliding Fee Discounts
Sliding Fee Plans
We offer sliding fee discounts based on your household income. Discounts are available whether you have insurance or not. Applying for discounts is easy. Fill out this one page application and send it to us with your proof of income. Call us with any questions at (304) 947-5500.
What plan am I eligible for?
Figure out your household size and income and look on the chart below. If your income is less than the number listed, you’re eligible for that plan.
Who is in my household?
Yourself
Your spouse
Everyone listed on the same tax return
Anyone under 19 that you care for and lives with you
Your unmarried partner (if you have children together)
What income is counted?
Job income
Social Security
Net self-employment income
Alimony
Retirement / pension
Investment / rental
Do not include child support, SSI, workers’ comp, or VA income.
$10
Plan 1
A nominal charge of $10 covers:
Office visit
In-house & referral labs
In-office medication
Vaccines
Additional charges may apply to:
Medications taken home
$20
Plan 3
A copay of $20 covers:
Office visit
In-house labs
VFC vaccines
Additional charges may apply to:
Referral labs
Medications
Vaccines
$15
Plan 2
A copay of $15 covers:
Office visit
In-house labs
VFC vaccines
Additional charges may apply to:
Referral labs
Medications
Vaccines
$40
Plan 4
A copay of $40 covers:
Office visit
In-house labs
VFC vaccines
Additional charges may apply to:
Referral labs
Medications
Vaccines
Income Eligiblity
| Household Size | Plan 1 | Plan 2 | Plan 3 | Plan 4 |
|---|---|---|---|---|
| 1 | $14,580 | $20,120.40 | $21,870 | $29,160 |
| 2 | $19,720 | $27,213.60 | $29,580 | $39,440 |
| 3 | $24,860 | $34,306.80 | $37,290 | $49,720 |
| 4 | $30,000 | $41,400 | $45,000 | $60,000 |
| 5 | $35,140 | $48,493.20 | $52,710 | $70,280 |
| Each additional person | Add $5,140 | Add $7,093.20 | Add $7,710 | Add $10,280 |
In addition to sliding fee discounts, additional discount programs may be available from third parties to further reduce cost. If you are struggling with your medical bills, please call us so we can discuss your options.