Sliding Fee Discount Program
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Quality care should not depend on what you can afford.
At HEALS, no one is turned away because of cost. Our Sliding Fee Discount Program adjusts what you pay based on your household income and family size so care is always within reach.
The program is available for all patients to apply and may help lower out-of-pocket costs for medical, dental, behavioral health, and optometry services.
How The Program Helps
The Sliding Fee Discount Program is designed to remove financial barriers and keep children connected to the care they need.
Lower Visit Costs
Eligible families may pay a reduced amount based on household size and income.
All Patients Can Apply
Families may apply whether they are uninsured, underinsured, or already insured.
Annual Review
Your discount is set for one year and reviewed annually.
Sliding Fee Discount Program Details
Use the tabs below to learn what the program is, how to apply, how family size and income are reviewed, and where to download the program forms.
What is the Sliding Fee Discount Program?
The Sliding Fee Discount Program helps lower the cost of care for eligible families. The discount is based on household income and family size.
- Available for all HEALS patients to apply.
- Applies to services provided by HEALS.
- May reduce what you owe after insurance pays.
- Information shared with HEALS is private and confidential.
What services does it cover?
The discount applies to HEALS services, including:
- Primary care visits
- Dental visits
- Behavioral health services
- Optometry and vision care visits
How do I apply?
Applying is simple and confidential. Families can pick up an application at any HEALS clinic or download the application from this page.
- Complete the Sliding Fee Discount Program application.
- Provide basic household size and income information.
- Submit current proof of income, such as pay stubs, tax returns, benefit statements, or other accepted documentation.
- Your discount is reviewed and set for one year.
What if I do not have documentation?
Talk to us. HEALS will work with you if you are unsure what to provide or cannot provide standard documentation.
Program materials are available in multiple languages. Please ask a staff member if you need assistance.
Defining Family Size
Family size generally includes the patient, parent or guardian, and dependents living in the household who rely on household income.
Defining Household Income
Household income includes income from those contributing to the household. Examples may include wages, unemployment, Social Security, child support, pension, disability, or other income sources.
Forms & Documents
Download the Sliding Fee Discount Program forms below. Printed applications may also be picked up at any HEALS clinic.
Application - English
Sliding Fee Scale Application for families applying in English.
Download English ApplicationApplication - Spanish
Aplicación para Descuento en los Servicios de Salud en español.
Download Spanish ApplicationProgram Letter - English
Overview of the Sliding Fee Discount Program and how it works.
Download English LetterWelcome Letter - English
Welcome information for parents and guardians joining HEALS.
Download English Welcome LetterWelcome Letter - Spanish
Carta de bienvenida para padres y tutores en español.
Download Spanish Welcome Letter
Care within reach for every family
The Sliding Fee Discount Program helps families access the care they need without letting cost become a barrier.
Apply even if you have insurance. The discount may reduce what you owe after insurance pays, lowering your out-of-pocket cost.
Frequently Asked Questions
Who can apply?
The Sliding Fee Discount Program is available for all HEALS patients to apply.
What if I have insurance?
Apply anyway. The discount may reduce what you owe after your insurance pays, lowering your out-of-pocket costs.
What proof of income can I provide?
Proof may include recent pay stubs, a W-2, tax return, unemployment statement, benefits statement, bank statements showing direct deposits, or other current proof of household income.
Is my information private?
Yes. Information shared for the Sliding Fee Discount Program is confidential and used only to determine your discount level.
How long does the discount last?
Your discount is set for one year and reviewed annually.
Need help with the application?
Our team is happy to help you understand the Sliding Fee Discount Program, complete your application, and determine what documents may be needed.