Family Health Centers, Inc.
2215 Portland Avenue
Louisville, KY 40212
(502)774-8631

Sliding Fee Scale Discounts

FHC staff are available to assist patients in determining if they are eligible for a variety of health benefits coverage options. These options may include FHC’s sliding fee scale discounts, special grant-provided services or public-funded health care coverage such as Medicaid, Passport Health Plan and the Kentucky Children’s Health Insurance Program (KCHIP). In many cases, FHC staff can assist qualifying patients in enrollment.

FHC offers discounted medical services fees for qualified patients who do not have health insurance, or who may be unable to pay the full fee for services received at any of FHC’s six Louisville Metro Area health centers. Eligibility is based on household income, and patients must bring ONE of the following to the health center to determine if they are eligible:

Current year's tax form (1040 form)
2 current pay stubs
1 unemployment stub
Letter from employer on letterhead that states your salary or wages
Most recent rent receipt
If none of the above are available, you must provide a letter of reference from any 501(c)(3) (non-profit) organization on their letterhead (for example, your church).

Discount levels for qualifying patients based upon household size are shown below. Percent shown is the amount of discount.

 Effective February 1st, 2007 Family Health Centers will require a minimum fee of $15.00 for class 6 patient visits.


FHC - Sliding Fee Scale
ANNUAL INCOME LEVEL
Effective January 28, 2008
Family Class 6 Class 5 Class 4 Class 3 Class 2 Class 1
Size PAYS Min Fee PAYS 20% PAYS 40% PAYS 60% PAYS 80% PAYS 100%
1 $0 - $10,401 - $13,001- $15,600 $15,601 - $18,200 $18,201 - $20,799 $20,800 -
$10,400 $13,000 UP
2 $0 - $14,001 - $17,501- $21,000 $21,001 - $24,500 $24,501 - $27,999 $28,000-
$14,000 $17,500 UP
3 $0 - $17,601 - $22,000 $22,001 - $26,400 $26,401 - $30,800 $30,801 - $35,199 $35,200-
$17,600 UP
4 $0 - $21,201 - $26,500 $26,501- $31,800 $31,801 - $37,100 $37,101 - $42,399 $42,400-
$21,200 UP
5 $0 - $24,801 - $31,000 $31,001- $37,200 $37,201 - $43,400 $43,401 - $49,599 $49,600 -
$24,800 UP
6 $0 - $28,401 - $35,500 $35,501 - $42,600 $42,601 - $49,700 $49,701 - $56,799 $56,800 -
$28,400 UP
7 $0 - $32,001 - $40,000 $40,001 - $48,000 $48,001 - $56,000 $56,001 - $63,999  $64,000-
$32,000 UP
8 $0 - $35,601- $44,500 $44,501 - $53,400 $53,401 - $62,300 $62,301 - $71,199 $71,200 -
$35,600 UP
NOTE: For family units of more than 8 members, add $3,600 for each additional member.
 
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FHC - Sliding Fee Scale
MONTHLY INCOME LEVEL
Effective January 28, 2008
Family Class 6 Class 5 Class 4 Class 3 Class 2 Class 1
Size PAYS Min Fee PAYS 20% PAYS 40% PAYS 60% PAYS 80% PAYS 100%
1 $0 - $868 - $1,085 - $1,302 - $1,517 $1,518 - $1,733 $1,734  -
$867 $1,084 $1,301 UP
2 $0 - $1,168 - $1.460 - $1,751 $1,752 - $2,042 $2,043 - $2,333 $2,334 -
$1,167 $1,459 UP
3 $0 - $1,468 - $1,834 $1,835- $2,201 $2,202 - $2,567 $2,568 - $2,933 $2,934 -
$1,467 UP
4 $0 - $1,768- $2,209 $2,210- $2,651 $2,652 - $3,092 $3,093 - $3,533 $3,534 -
$1,767 UP
5 $0 - $2,068 - $2,584 $2,585 - $3,101 $3,102 - $3,617 $3,618 - $4,133 $4,134 -
$2,067 UP
6 $0 - $2,368 - $2,959 $2,960 - $3,551 $3,552 - $4,142 $4,143 - $4,733 $4,734 -
$2,367 UP
7 $0 - $2,668 - $3,334 $3,335 - $4,001 $4,002 - $4,667 $4,668 - $5,333  $5,334 -
$2,667 UP
8 $0 - $2,968 - $3,709 $3,710 - $4,451 $4,452- $5,192 $5,193- $5,933 $5,934-
$2,967 UP
NOTE: For family units of more than 8 members, add $300 for each additional member.
 
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FHC - Sliding Fee Scale
BI-WEEKLY INCOME LEVEL
Effective January 28, 2008
Family Class 6 Class 5 Class 4 Class 3 Class 2 Class 1
Size PAYS Min Fee PAYS 20% PAYS 40% PAYS 60% PAYS 80% PAYS 100%
1 $0 - $401 - $500 $501- $600 $601 - $700 $701 - $800 $801-
$400 UP
2 $0 - $539 - $673 $674 - $808 $809 - $942 $943 - $1,077 $1,078 -
$538 UP
3 $0 - $678 - $847 - $1,015 $1,016 - $1,185 $1,186 - $1,354 $1,355 -
$677 $846 UP
4 $0 - $816 - $1,020 - $1,223 $1,224 - $1,427 $1,428 - $1,631 $1,632 -
$815 $1,019 UP
5 $0 - $955- $1,193 - $1,431 $1,432 - $1,669 $1,670 - $1,908 $1,909 -
$954 $1,192 UP
6 $0 -