Sliding Fee Scale Discount Program

Sliding Fee Scale Discount Program is sponsored by White Bird Dental Clinic. White Bird Dental Clinic offers a sliding fee scale for uninsured and low-income patients in Lane County, Oregon. Services include emergency, preventative, and restorative dental care, such as fillings, crowns, endodontics, extractions, bridges, and prophylaxis.

Sliding Fee Discount Program - White House Clinics 1-855-WH-APPTS 1-855-WH-APPTS Sliding Fee Discount Program Sliding Fee Discount Program bluemillion 2025-03-12T10:29:28-04:00 Applying for the Sliding Fee Discount What is a Sliding Fee Discount ? As a Federally Qualified Community Health Center, White House Clinics receive federal funding to provide a discount to uninsured or indigent patients.

The federal government provides specific instruction as to the use of this money so White House Clinics must follow very standardized procedures for enrollment. How do I apply for the Sliding Fee Discount? Patients interested in signing up for the discount may complete the Sliding Fee Form and bring it, along with proof of income, to their appointment.

The patient should give the form to the receptionist so that the patient can meet with the financial counselor before their visit with the provider. Confidential Financial Statement Self-Declaration of Income Employer Income Attestation Confidential Financial Statement Self-Declaration of Income Employer Income Attestation The discount program is based on family income, not necessarily household income.

To receive the discount, the patient will need to provide verification of income. White House Clinics accept the following documents as proof of income: Letter from Social Security/Disability Long Form from Food Stamp Office Copy of Check/Bank Statement to Verify Child Support Payments Other documents may work, but please ask your Financial Counselor about specific requirements. What kind of discount would I receive?

The discount level is based on the income and number of family members in the household. Patients on the highest level of discount pay a $20 nominal fee for medical and behavioral health services, and $30 nominal fee for dental services. Medications purchased from the White House Clinics pharmacy are also discounted.

Does the Sliding Fee Discount mean that I can receive free visits? Although we do provide a discount for services, White House Clinics are NOT free clinics. We do expect and require payment at the time of service in both our medical behavioral health, and dental clinics, as well as our pharmacy.

For your convenience, we accept cash, checks, and debit/credit cards. White House Clinics will not discriminate against any person receiving health services because of his/her inability to pay for services. White House Clinic Statement White House Clinics are Federally Qualified Health Care Centers.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age or disability.

Federally Qualified Health Centers are non-profit, consumer-directed health care corporations that provide comprehensive primary and preventive healthcare services which receive grants under the U.S. Public Health Service Act (i.e. Community Health Centers, Migrant Health Programs, Health Care for the Homeless Programs, Health Care in Public Housing Programs, Indian Tribal Health Centers, 42 U.S.C. 254b).

White House Clinics employees are deemed Public Health Service employees under 42 U.S.C. 233(g) – (n). This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $4,434,600 with 17% financed with non-governmental sources.

The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA. gov .