Health Insurance / Dental Insurance
We accept payment from many private and public health/dental insurance
and managed care plans. However, if your managed care plan requires
that you choose a primary care provider (PCP), we must be listed
as your PCP in order to bill them. Common public health insurance
types are Medical Assistance, MinnesotaCare, BadgerCare, Medicare
and Medicare Supplement Insurance. Please call us to determine if we can accept your insurance.
Payments can also be made with cash, checks, Visa, MasterCard and Discover card.
Sliding Fee Scale
If you do not have health or dental insurance or if your insurance does not cover
certain services, we may be able to base your payment on a sliding fee scale.
The scale is based upon household size and income.
You will be asked to provide
proof of household income. Proof of income can include
a recent check stub, W2 forms from the last tax year, Form 1040 or a letter from Social Security.
If proof of income is not provided, you will be billed for the full amount of the services provided.
You will also be informed if there is a small fee prior to obtaining certain services. Clients are asked to pay what they can, when
they can. Please
call us if you have any questions or concerns about your payments.
If your income and household size does not fall within the sliding fee scale health or dental care guidelines below, you will be billed for the full amount of the services provided.
Sliding Fee Scale Health Care guidelines have changed as a result of the ShareCare program. For example, a household of four can have an annual household income equal to or less than $63,600. Please click on this Share Care link and scroll down for an updated household size and income chart for our Health Care services.
You qualify for Sliding Fee Scale Dental Care if you meet the
2008- 2009 guidelines in the chart below.
| Household Size |
Annual Household Income is equal to or less than |
| 1 |
$20,800 |
| 2 |
$28,000 |
| 3 |
$35,200 |
| 4 |
$42,400 |
| 5 |
$49,600 |
| 6 |
$56,800 |
| 7 |
$64,000 |
| 8 |
$71,200 |
| 9 |
$78,400 |
| 10 |
$85,600 |
Financial Assistance Programs
There are some programs that pay for certain services.
Click here for programs for
women
Click here for medication assistance
Click here to see
if you’re eligible for public health insurance programs
Click here to learn
about community care programs through SMDC
|
