Sliding Fee Scale

 

 

Indian Stream Health Center offers a Sliding Fee Scale.

Here are some Frequently Asked Questions to help you better understand the ISHC Sliding Fee Scale process.  
 

For more information, please call ISHC at 603-237-8336. 

 






 

Question: How does ISHC provide a sliding fee scale for its patients?  Where does that money come from?

Answer: ISHC receives grant funding to be able to provide care for our patients despite their ability to pay.



 







 

Question: Is the Sliding Fee Scale available to everyone? 

 



Answer: The sliding fee scale is available to all patients that fill out a household assessment and are determined eligible based on patient's household size and income. The patient's bill is then adjusted depending on the discount they qualify for.






 

Question: My tax returns from last year are different than what my earnings are now, how will that affect my eligibility?


 


Answer: The sliding fee scale is based
on current earnings, not on the past year’s earnings, past years' tax returns, or anything related to
assets (i.e. property, car, savings (except the interest), etc.).



 








 

Question: I'm recently unemployed, am I eligible for the Sliding Fee Scale?


 



Answer: For an individual who is recently unemployed, ISHC does not look at past income.  The individual has no current income, and therefore is likely eligible for our highest discount.



 








 

Question: I'm unemployed, but my spouse is working.  Am I eligible for the Sliding Fee Scale?


 



Answer: If an individual's income has been cut, but their spouse is still working, the individual may still be eligible for a reduced rate.


 


 


With the Sliding Fee Scale program:

  • In 2010 we provided $272,499 in reduced fees to 635 uninsured or underinsured patients. 
  • With annual support from our Federal operating grant, ISHC provided approximately $215,043 in 2010 in uncompensated care.
  • In 2009 we provided $224,737 in reduced fees to 652 uninsured or underinsured patients.
  • With annual support from our Federal operating grant, ISHC provided approximately $437,293 in 2009 in uncompensated care which represents approximately 15% of our total costs in 2009 of $2.9 million.



 

The Household Assessment forms and cover letters can be found below.  To apply, simply:


 

  1. Click on the appropriate form and cover letter to download.
  2. Print out the form and cover letter and fill in your information.
  3. Bring an original signed copy of the form into Indian Stream Health Center to be given to the Revenue Cycle Manager.

If you have any questions about the HHA forms, the sliding fee scale process, or services that ISHC offers, please do not hesitate to to call 603-237-8336.