Step 1: Determine if You Qualify
Use the chart below to determine the percentage of the federal poverty level of your total annual household income (before taxes are taken out). As long as your total annual household income is below 200%, you will qualify for our sliding fee scale.
| 1 | $12,880 | $17,774 | $19,320 | $25,760 |
| 2 | $17,420 | $24,040 | $26,130 | $34,840 |
| 3 | $21,960 | $30,305 | $32,940 | $43,920 |
| 4 | $26,500 | $36,570 | $39,750 | $53,000 |
| 5 | $31.04 | $42,835 | $46,560 | $62,080 |
| 6 | $35,580 | $49,100 | $53,370 | $71,160 |
| 7 | $40,120 | $55,366 | $60,180 | $80,240 |
| 8 | $44,660 | $61,631 | $66,990 | $89,320 |
Step 2: Choose Your Plan
Once you have determined what percentage of the federal poverty level your total annual household income is, you can find the plan for which you are eligible.
Pay Per Visit
| % of Federal Poverty Level | 0-100% | 101-138% | 139-150% | 151-200% |
| Appointment cost | $10 per visit | $20 per visit | $30 per visit | $40 per visit |
| plus | plus | plus | plus | |
| Cost for additional testing if needed | 25% of any additional testing and/or procedures | 25% of any additional testing and/or procedures | 50% of any additional testing and/or procedures | 50% of any additional testing and/or procedures |