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Desert Mission Health Center For Sliding Fee Scale (SFS) Application only o 9229 North 4th Street Phoenix Arizona 85020 o 9201 North 5th Street Phoenix Arizona 85020 The following documents are required
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How to fill out sliding-fee schedule - honorhealth
How to fill out sliding-fee schedule - honorhealth?
01
Visit the official website of honorhealth and navigate to the sliding-fee schedule section.
02
Download the sliding-fee schedule form or request a physical copy from honorhealth if available.
03
Fill in your personal information such as your full name, address, contact number, and email address. Provide accurate and up-to-date information to ensure effective communication.
04
Indicate your household size by including the number of individuals living with you, including yourself, your spouse, and dependent children.
05
Provide details of your annual household income. This could include income from jobs, self-employment, investments, and other sources. Fill in this information accurately to determine your eligibility for the sliding-fee scale.
06
Review the accompanying instructions or guidelines to ensure you understand the process and any additional documentation required.
07
Submit the completed sliding-fee schedule form to honorhealth through the designated channels, such as mailing it to the given address or uploading it online if applicable.
08
If you have any questions or require assistance while filling out the form, contact honorhealth's customer service or seek guidance from their website or helpline.
Who needs sliding-fee schedule - honorhealth?
01
Individuals or families with limited financial resources who may struggle to afford healthcare services.
02
Uninsured or underinsured individuals who are not covered by a comprehensive health insurance plan.
03
People with a low or moderate income that falls within the specified income range determined by honorhealth.
04
Those who require access to essential healthcare services but face financial barriers.
05
Families or individuals who do not qualify for existing government healthcare assistance programs but still need financial assistance.
Note: The specifics of who needs the sliding-fee schedule at honorhealth may vary based on eligibility criteria and local regulations. It's advisable to consult honorhealth's official resources or contact them directly for the most accurate and up-to-date information.
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What is sliding-fee schedule - honorhealth?
The sliding-fee schedule at HonorHealth is a discounted fee schedule based on a patient's ability to pay.
Who is required to file sliding-fee schedule - honorhealth?
Healthcare providers at HonorHealth are required to file the sliding-fee schedule for eligible patients.
How to fill out sliding-fee schedule - honorhealth?
To fill out the sliding-fee schedule at HonorHealth, healthcare providers input patient information and determine the discounted fees based on financial need.
What is the purpose of sliding-fee schedule - honorhealth?
The purpose of the sliding-fee schedule at HonorHealth is to ensure that all patients have access to affordable healthcare services, regardless of their financial situation.
What information must be reported on sliding-fee schedule - honorhealth?
The sliding-fee schedule at HonorHealth requires patient demographics, income information, and the corresponding discounted fees to be reported.
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