Sliding Fee Scale
If you have insurance, you may still qualify for the sliding fee scale.
To make health care affordable, we offer a sliding scale fee structure for our income-eligible patients.
Additionally, HealthWorks offers cost assistance to patients who meet income guidelines of 200% of the Federal Poverty Level. You may qualify for additional discounts if your income is equal to or less than the income below:
|
Financial Household Size |
Total/Gross Monthly Income (before any deductions) |
Total/Gross Annual Income (before any deductions) |
|
1 |
$2,510 | $30,120 |
| 2 | $3,406.67 | $40,880 |
| 3 | $4,303.33 | $51,640 |
| 4 | $5,200 | $62,400 |
| 5 | $6,096.67 | $73,160 |
| 6 | $6,993.33 | $83,920 |
| 7 | $7,890 | $94,680 |
| 8 | $8,786.67 | $105,440 |
You can apply for the sliding fee scale when you fill out your new patient paperwork, prior to your first visit at HealthWorks.
To view a list of the supporting documents you’ll need to provide with your application, click the button below.
For questions about the requested documents, please call our office at (307) 635-3618 and ask to speak with an eligibility specialist.
At HealthWorks, we welcome and care for everyone, regardless of insurance status or ability to pay.
If you have health care insurance, but it doesn’t cover or only partially covers fees for certain services at HealthWorks, you may be eligible for the sliding fee discount based on your income and family size.
If you qualify for the sliding fee scale, you will need to pay a minimum established fee (see chart in the document linked below) when checking in for your appointment.
FAQ
How do I apply for the sliding fee scale?
You can apply for the sliding fee scale when you fill out your new patient paperwork, prior to your first visit at HealthWorks.
Where can I see how much a visit will cost?
Click here to view the most recent sliding fee scale. We also have the charts posted in our clinic waiting room, and we’re happy to answer any questions you have while you’re here!
If I have insurance, can I still qualify for the sliding fee scale?
Yes! If you have health care insurance, but it doesn’t cover or only partially covers fees for certain services at HealthWorks, you may be eligible for the sliding fee discount based on your income and family size.
What documents do I need to provide for proof of income?
When you apply for the sliding fee scale, we’ll ask you for information from your most recent tax return (signed and filed within the last 12 months, if filed) and/or the past 30 days of current income via pay stubs, plus other documentation as needed to confirm other income types.
Questions about the sliding fee scale?
We’re here to help! Please call (307) 635-3618 to speak with someone from
the HealthWorks team. To find paperwork you need for proof of income, visit the link below.