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Sliding Fee Scale

What is a Sliding Fee Scale?
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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.
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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

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ADULT COMMERCIAL:

Blue Cross Blue Shield (BCBS)

DENTAL:

Cigna

Sunshine/Dental Health & Wellness

DenteMax

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