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 is ordinarily your income tax form 1040 from the last tax year. If proof of income is not provided, you will be billed for the full amount of the services provided. If you have not filed an income tax return, provide a copy of all W-2’s, Social Security or pension statements, pay stubs, and any other income received by your household.
Clients will need to pay a fee prior to obtaining most medical or dental services. Clients are expected to pay something towards the cost of their care. Clients may call our billing department with questions or concerns about 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.
You qualify for Sliding Fee Scale Health & Dental Care if you meet the
2011 guidelines in the chart below.
| Household Size |
Annual Household Income is equal to or less than |
| 1 |
$21,780 |
| 2 |
$29,420 |
| 3 |
$37,060 |
| 4 |
$44,700 |
| 5 |
$52,980 |
| 6 |
$59,980 |
| 7 |
$67,620 |
| 8 |
$75,260 |
Click here if your income is above the sliding fee scale to see if you're eligible for ShareCare
Financial Assistance Programs
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
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