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 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 or apply online. Please note: this will take you to a secure, off-site website to enter your information. All information will remain confidential and will only be viewed by Horizon Health Care.

You can also print the application, then return it to your local Horizon clinic’s front desk.Sliding Fee Application

Sliding Fee Application

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.

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.

Family Size Family Income
1 $24,281
2 $32,921
3 $41,561
4 $50,201
5 $58,841
6 $67,481
7 $76,121