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Medical form with stethoscope

The Sliding Fee Discount Program is designed to help cover your out-of-pocket expenses for medical care provided by Seward Community Health Center. Patient eligibility is based on household size and income.

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All patients are welcome to apply for the Sliding Fee Discount Program. Not everyone will qualify for a discount.  Determination of your discount, if any, depends upon your household size and income. Your household includes yourself, your spouse or unmarried significant other, and dependents under 18 years old.  Special situations apply.
 

Sliding Fee Discount Program //

Application Process //

  1. Make an appointment with our Outreach & Enrollment Coordinator.

  2. Bring all required documentation to your appointment, including proof of income.

  3. Complete and sign the application forms.

  4. Your proof of income will be verified within 30 days.

  5. If you are determined to meet income requirements, you will be placed in the program and receive a discount on SCHC medical services.  Discounts can be applied to your first visit.

 

Payment for all medical visits, including discounted fees for patients on the slide, are due at the time of service.

What to Bring When You Apply //

Each year you apply for the Sliding Fee Discount Program or health insurance program, you will need to bring:

  • Photo ID

  • Social Security numbers  for everyone in household

  • Birthdates for everyone in household

  • Proof of current income

  • Worker's Compensation award letter

Proof of Income Examples //

  • Last 3 Paycheck Stubs or Vouchers

  • Employment Letter

  • Most Recent Income Tax Return

  • Unemployment Paperwork Court Documents (alimony or child 
    support records)

  • Social Security disability or retirement letter 

  • If you are unemployed or do not have a verifiable source of income, you must complete a form explaining your current situation.  

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