RAHC offers a Sliding Fee Discount program to insured, uninsured, and underinsured patients based on annual income and family size under the U.S. Department of Health and Human Services annual Federal guidelines. RAHC does not discriminate with regard to race, color, religion, national origin, age, gender, sexual orientation or disability. No one will be denied access to services due to inability to pay.
Learn more here.
Forms
- Instructions and Application Fee Discount Program here.
- Statement of Support (for patients with no income) here.
- Income Verification Form (for patients that do not receive pay stubs) here.
Income Guidelines
Household Size | Annual Income (200% FPL) |
1 | $24,980 |
2 | $33,820
|
3 | $42,660 |
4 | $51,500 |
5 | $60,340
|
6 | $69,180
|
7 | $78,020 |