Fees and Scheduling Information

Scheduling an Appointment and Sliding Fee Schedule

No patient will be declined care because of a documented  inability to pay for services.

All new patients will have 2 appointments- first is with the patient advocate to register and to determine eligibility for the slide discount program.

Sunshine Clinic does not want financial constraints to prevent individuals and families from seeking the needed care; therefore, we have adopted a sliding fee discount schedule.

For your appointment with the Patient Advocate you will need:

• Proof of income ( last 2 pay stubs or tax returns from the previous year) and/or
• Social verification records (Food Stamps, Public Assistance etc) or
• Two reference letters from different sources that can verify that you do not receive any income
• Information regarding the existence of any third party insurance
• (Medicaid, Medicare, private insurance, SCHIP, etc.)

Eligibility process and expectations:

• Patients with no third party coverage will be expected to provide appropriate information for the completion of the Sliding Fees Scale Eligibility form
• Eligibility forms must be signed by the patients, reviewed and approved by SCHC
• Determination of eligibility for sliding fee scale discounts will be done on an annual basis
• Patients qualifying for a sliding fee discount will be expected to pay an affordable flat fee at the time services are rendered
• This payment will cover a single provider visit
• There will be additional charges for ancillary services such as lab, x-rays and medication
• This payment does not cover dental, there is a separate schedule for those services