The Sliding Fee Program is a special program at Frederiksted Health Care Inc. (FHC) to assist those who have difficulty paying for medical care. Frederiksted Health Care Inc. is required to charge a fee for medical services and to collect monies when services are rendered. It strives to provide quality accessible medical care to all individuals, regardless of the ability to pay. To ensure it is able to provide this care, the health center can provide discount fees to patients who are eligible for its Sliding Fee Program.
Discounts are based on a calculation of a person’s income and family size, which can reduce a bill 20 percent, 40 percent, 60 percent, 80 percent or more. The discounts apply to all services offered at the Frederiksted Health Center facility. Application for sliding fee discount is voluntary, and a patient may elect to pay the full fee if so desired. All individuals are encouraged to apply for the sliding fee. In the event that someone does not qualify, FHC will be happy to arrange a payment plan.
If patients feel they may be eligible for a discount, please fill out the application form. Applications can be filled out at any time of the year. Patients may qualify whether they have private insurance or Medicare. Once qualified, the enrollment ends at the end of each year (Dec. 31). The patient must notify FHC of any changes in income throughout the year, and it is the patient’s responsibility to re-apply every year.
If anyone wishes to apply the sliding fee to a current visit, it will be necessary to return the completed application and submit verification data within five working days of the visit.
When filling out the application, it is necessary to attach any of the following documentation that applies to you as:
Proof of Current Monthly Family Income:
| [ ] Two consecutive check stubs – if paid bi-weekly
[ ] Social Security Letter or Disability [ ] Four consecutive check stubs – if paid weekly [ ] Public Assistance Letter [ ] Notarized letter of the person who supports you [ ] Social Security letter or disability. [ ] Child support or alimony (Recent): If you are self-employed. |
[ ] Employer’s letter on original company’s letterhead
[ ] Four consecutive check stubs – if paid weekly [ ] Public assistance letter [ ] Employer’s letter on original company’s letterhead [ ] Two consecutive check stubs – if paid bi-weekly [ ] Notarized letter of any adult not working [ ] W-2s (Recent) [ ] Income Tax
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The Following Documentation As Proof of Family Size Is Required:
| · Picture Identification Card: For the adult(s) only. (Driver’s License, Passport, Employer’s ID. etc.)
· Insurance Card · Birth Certificate: For all dependent children · Mailing Address: (WAPA Bill, Telephone or Cable bill, or any bill sent to you by mail).
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If an individual is unable to provide this information, speak with the registration staff. If there are special issues the applicant would like the Frederiksted Health Center to consider when it reviews the application, please write them on a separate piece of paper, or call the center at 772-0260 for more information.
