Get Payment Assistance with our Sliding Discount Program
Community Health Centers offers a program that reduces the cost of care for uninsured patients or can be applied to insurance deductibles for patients with insurance.
It is our vision to provide essential services regardless of ability to pay.
Discounts are offered depending upon household income and size. A “Family” is one or more persons living in one dwelling place who are related by blood, marriage, or law. Adults and minor children are considered a family. Relatives over 18 (that are not full-time students) are not eligible to be used as dependents for this application process.
- Prefer to Apply in Person? Give Us a Call
- 407-905-8827
- 352-314-7400
Proof of Income or Inability to Pay
- You will also need to provide one of the following:
- Pay Stubs showing last four weeks of income
- Completed Employment Verification Form
- Unemployment Compensation showing last four weeks of income.
- Workers Compensation showing last four weeks of income.
- Social Security Income (SSI)
- Disability or SSI Benefits, Letter D
- Documentation from a Local, State or Federal Agency
- Letter of Support from Charitable Organization
- Last year’s Income Tax Return including W-2 or 1099 (only if Self-Employed)
Once qualified, discounts will apply for 3-6 months. To continue receiving a discount you will need to complete a new application and provide current proof of income documentation every nine months.
Sliding Discount Program Quick Guide
1) Submit an Application Form
Our Sliding Discount Program application form can be completed online, or in person by calling.
2) Meet With a Financial Counselor
Schedule you're appointment to meet with a Financial Counselor to go review your application form.
3) Bring Financial Information
Remember to bring proof of income to your meeting. It is required to complete the application.
4) Get Approved
After approval, you’re able to make an appointment for any service offered at any Community Health Centers location.
Re-Apply Every 3-6 Months
Applicants will need to reapply for discounts every 3-6 months with new proof of income
Sliding Discount Program Income Levels
The Sliding Discount Program Income Levels chart is used to determine the discount a patient is eligible to receive on their total charges for services. The scale can change from year to year, and the scale below should be used as a reference. Sliding scale level will be determined on application submission.
Frequently Asked Questions
How do I get started and apply?
To get started, you’ll first need to submit a Sliding Discount Program application. This can be done online using our online application form, or in-person by scheduling an appointment with a Financial Counselor. Call 407-905-8827 to set up the appointment.
Will I qualify for the program?
Qualification is based on your household’s combined annual income. Even if you don’t qualify for 100% coverage, there are several tiers, and you may still be eligible for discounts.
How long does it take to get approved?
Upon meeting with a Financial Counselor, you’ll be either approved or denied at this meeting. Once approved you’ll be able to schedule an appointment for any of our services offered, as well as take advantage of our low-cost pharmacy.
What do I need to bring with me to the appointment?
When meeting with a Financial Counselor, they will need to see proof of current income. This proof can be provided in several forms. A complete list can be found above on this page.
Do I need to provide income for all household members?
Yes, you will need proof of income for everyone within the household that has an income. This is used to help determine where you will appear on the sliding scale.
Do I need to apply again?
All Sliding Discount Program members need to reapply every 9 months to maintain their status. This is used to make adjustments to the scale, to make sure you’re saving as much as possible.