Your health is very important, so the fear of financial fees should not keep you from seeing a doctor. Our Sliding Fee Schedule makes sure everyone can get the care they need. This chart helps us review your income level to determine the reduced fee you may qualify for to pay for services.
This helps make healthcare more affordable for everyone.
Concerns regarding compliance with the No Surprises Act can be reported at phone# 1-800-985-3059 or online at https://www.cms.gov/medical-bill-rights/help/submit-a-complaint.
In order to apply for the discount, a completed Sliding Fee Program Application is required along with a photo ID, proof of address and proof of income for all household members.
The form can be printed and completed prior to the visit, or at the clinic before a visit.
The Sliding Fee Discount Program is based off of your household family size and annual gross household income.
Patients may bring one of the following options:
Send Documentation
To send a secure file to Vibrant Health, such as proof of income or insurance, click below.
