Programs

Sliding Fee Discounts

Healthpromed provides its services to all patients regardless of their ability to pay.

As a Federal Qualified Health Center, Healthpromed offers its patients tiered discounts for services provided at the center through the Tiered Discount Program. The discount scales depend on the income and the number of people under the family nucleus.

On the day of your appointment, Healthpromed staff will assist you in determining if you are eligible for the Tiered Discount Program. Our team will ask you several questions related to your income and family composition to determine if you may be eligible for the program. If you are determined as a possible candidate for the Tiered Discount Program, you will be asked to bring the following documents:

Verification of Income and Family Composition

• Income tax returns from last year (if you are married filing separately, you must bring both returns)
• Last billing stub (for each family member)
• Form SSA-1099 (Social Security Benefit Statement)
• Form 1099-R (Annuities and/or Veterans Benefits)
• Benefits received for the Nutrition Assistance Program (PAN)
• Letter from your employer
• Voluntary declaration of income if your are self-employed.
• Voluntary declaration of family composition.
• Medicaid MAIO form - Optional
• Photo ID - Optional
• Sliding Fee Table

You can prequalify beforehand to check your eligibility status using the following calculator: