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BENEATH MEDICAL CENTER PO BOX 388 PLUMMER, IDAHO 83851 PHONE: 2086861931 FAX: 2086860213 Sliding Fee Program Annual Income Guidelines 2013 Household Size 1 2 3 4 5 6 7 8 Nominal Max 14,363 19,388
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How to fill out sliding fee program annual

01
Gather all necessary documents and information such as income statements, proof of address, and identification.
02
Contact the organization or healthcare facility that offers the sliding fee program to obtain the annual application form.
03
Carefully read the instructions on the application form to understand the requirements and eligibility criteria.
04
Fill out the application form accurately and provide all requested information.
05
Double-check the completed application form for any errors or missing information.
06
Attach any supporting documents required by the sliding fee program, such as income statements or proof of address.
07
Submit the completed application form along with the supporting documents to the organization or healthcare facility.
08
Wait for a response from the organization regarding your eligibility and the sliding fee scale you qualify for.
09
If approved, carefully review the sliding fee scale and any additional instructions provided.
10
Keep a copy of the approved application, sliding fee scale, and any related documents for your records.
11
Follow the program's guidelines and requirements for renewing your sliding fee program annually.

Who needs sliding fee program annual?

01
Individuals or families with limited income and financial resources can benefit from the sliding fee program annual.
02
People who cannot afford to pay the full cost of healthcare services or medical treatment may qualify for the program.
03
Uninsured individuals or those with high deductibles or co-pays may find the sliding fee program helpful in reducing their healthcare expenses.
04
Low-income earners, including part-time workers, freelancers, or individuals in temporary financial hardships, may be eligible for the program.
05
Families with dependents, especially children or elderly members, who require regular medical care may find the sliding fee program beneficial.
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The sliding fee program annual is a report that summarizes the financial information of a program that offers reduced fees based on the individual's ability to pay.
Any organization or institution that operates a sliding fee program is required to file the sliding fee program annual.
The sliding fee program annual can be filled out by providing detailed financial information about the program, including revenue, expenses, and the number of individuals served.
The purpose of the sliding fee program annual is to ensure transparency and accountability in the operation of sliding fee programs, as well as to evaluate the program's effectiveness in serving the target population.
The sliding fee program annual must include information on the program's funding sources, expenses, the number of individuals served, and any changes in the program's policies or procedures.
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