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Your Home for Healthcare
Call Us! Toll Free
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Please be advised that this toll free number directly connects to our Monmouth office
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gove/nosurprises or call 1-800-985-3059
Frequently Asked Questions
What is a Sliding Fee Scale?
A sliding scale fee scale is a structure that can help people get treatment without breaking their budget.
With sliding fee scale, a provider will offer different pricing based on a person’s income level.
How can I apply for a Sliding Fee Scale?
To apply for our sliding fee discount, a simple application must be completed and proof of income presented. Example of proof of income can include any combination of the following:
Most recent 10-40 tax form
Most recent W-2 form
Most recent paycheck stub
Most recent Social Security Statement
A recent copy of Child Support Statement
Applications can be processed at the time of the visit, if all applicable information is available including proof of income document(s).
Where can I get an application for Sliding Fee Scale?
Contact us at our toll-free number of 1-877-350-2385. Or, click on the image below for a copy of the application. Be sure to bring the completed application and proof of income document(s) with you.
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