Sliding Fee Program

If you don’t have health insurance or are worried about paying for care, our Sliding Fee Program can help.

Our Sliding Fee Program helps people who have limited or no health insurance. Patients will be charged for services based on their income and the number of people in their household. To apply for the Sliding Fee Program, you must meet with a financial counselor and provide proof of income and proper identification.

Sliding Fee Program, 2024

How to Apply

Eligibility for the Sliding Fee Program depends on your income and the number of people in your family/household. You will need to bring a document to prove your income, such as:

Federal tax return (form 1040)
Two most recent paycheck stubs
Self-employment- a copy of Schedule C & any other schedules
Social Security/SSI award letter or statement
Pensions/retirement
Unemployment compensation letter or checks
Alimony
W-2 or other government grant checks
Rental Income
Workers’ Compensation
Interest, dividends, rents, royalties, income from estates, trusts, educational assistance

Patients who attest to no sources of household income must complete ‘Sliding Fee Scale Discount No Income Attestation’ form. The applicant will be placed at Slide Fee Scale Level A and will be asked to pay the nominal fee associated with the service. The Financial Counselor will discuss various program options such as health insurance, foodshare and other community programs for possible eligibility.

Frequently Asked Questions (FAQs)

If you are paid weekly, bring 4 paycheck stubs.
If you are paid bi-weekly, bring 2 paycheck stubs.
If you are paid twice a month (1st/15th or 15th/30th), bring 2 paycheck stubs.
If you receive monthly Social Security and/or disability payments, bring a proof of income letter or Benefit Verification letter stating the monthly amount you are paid.

No — even uninsured patients are responsible for a portion of their care costs. Everyone is expected to pay their portion on the day of their visit.

The Sliding Fee Program is made possible by federal grants through the Bureau of Primary Health Care.

No, you do not.

Passed into law in 2010, the Affordable Care Act (ACA) was designed to expand access to insurance coverage for U.S. citizens. The law requires insurance companies to accept everyone, regardless of pre-existing conditions. People may also shop for private health insurance coverage on their own during each annual Open Enrollment Period. Recent federal government actions to repeal the ACA do not change the current health law. Affordable insurance coverage options are still available.

As part of the Affordable Care Act (ACA), the Health Insurance Marketplace was created to make buying health coverage easier and more affordable. The Marketplace is a website and call center where people can compare health insurance options, determine discounts for cost, and enroll in a plan that fits their needs. You can also find out if you qualify for BadgerCare Plus (Medicaid) on the Marketplace website.

BadgerCare Plus is a health care coverage program for low-income Wisconsin residents. This Medicaid program provides low-cost insurance coverage for Wisconsin residents who meet certain family size, age and income requirements. There are also special options for the elderly, blind, or disabled and pregnant women. You can apply for BadgerCare Plus at any time throughout the year.