Sliding Fee

Reduced Patient Fees

Our Sliding Fee Program offers reduced prices on office visits and services provided in the clinic to all individuals and families who qualify. If you apply and qualify at one Horizon location, you receive the discount at all of our medical and dental clinic locations.

The Sliding Fee Program is based on family income and may reduce your bill 20%, 40%, 60%, 80% or more.  You may qualify with or without insurance and you may qualify even though you have Medicare or Medicaid. To see if you are eligible, find your family size on the table below.  If your family’s annual income is less than the amount listed, you qualify.

To apply, submit the following: a copy of the front page of your most recent income tax return, showing your adjusted gross income or two recent check stubs for each working family member if you didn’t file an income tax return. Also, you must submit a completed Sliding Fee Program Application.  Applications are available at any of our locations – just inquire at the front desk or click here to apply and submit online.

All information we receive from you is strictly confidential and can be processed immediately by our office staff. If you have questions, please ask any of our staff.

 

Family Size Family Income
1 $23,761
2 $32,041
3 $40,321
4 $48,601
5 $56,881
6 $65,161
7 $73,461