Sliding Fee Scale
What is a Sliding Fee Scale?
​
The Pediatric & Family Health Center offer services to clients regardless of their inability to pay. Fees are adjusted on a sliding scale based on your gross household income and household size. The payment amount is calculated using federal guidelines. This means that if you are uninsured or have a high deductible from your insurance provider you may qualify for a discounted fee for services, co-payments and/or deductibles. To qualify, your total household income must fall at or below 200% of the Federal Poverty Level.
​
You may apply for a discounted fee by completing and submitting the Sliding Fee Discount Form at the registration desk with the required proof of income and family size at your first appointment and annually thereafter. The following Documents are acceptable proof of income:​
-
One month of consecutive pay stubs or letter of salary
-
1040 tax form
-
Unemployment letter
-
Social Security Award Letter
-
Support letter OR 'Verification of No Income' (must be notarized)
We Accept the Following Insurances:
PEDIATRIC COMMERCIAL:
Florida Blue
Network Blue
Blue Cross Blue Shield
Health Options
Preferred Patient Care (PPC)
Traditional (PPS)
Florida Health Solutions HMO
Multiplan – PHCS
Multiplan PHCS Savility
MEDICAID HMO's:
Sunshine Ambetter/OBAMACARE
Humana
Magellan
Prestige
Staywell
Amerigroup
Cigna
ADULT MEDICAID HMO's:
Sunshine
Ambetter/OBAMACARE
Prestige
Magellan
​
ADULT COMMERCIAL:
Blue Cross Blue Shield (BCBS)
DENTAL:
Cigna
Sunshine/Dental Health & Wellness
DenteMax