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Sliding Fee Discount Program Policy:Westlake Consultation Center BUSINESS OFFICE POLICIES SUBJECT: Sliding Fee Discount Program EFFECTIVE DATE: May 5, 2020 POLICY: To make available free or discounted
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How to fill out sliding fee discount program

01
Gather all necessary documentation such as proof of income, proof of household size, and any other required documents.
02
Contact the healthcare facility or organization offering the sliding fee discount program to inquire about the application process.
03
Complete the application form accurately and truthfully, making sure to provide all requested information.
04
Submit the completed application along with all required documentation to the appropriate department or individual.
05
Wait for the application to be processed and reviewed by the healthcare facility or organization.
06
Upon approval, review the terms and conditions of the sliding fee discount program and understand how it will apply to your healthcare costs.

Who needs sliding fee discount program?

01
Individuals and families with low income who may struggle to afford healthcare services.
02
Uninsured individuals who do not have coverage for healthcare expenses.
03
Underinsured individuals who have limited coverage and high out-of-pocket costs.
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The sliding fee discount program is a program that offers reduced fees for eligible individuals or families based on their income.
Healthcare facilities or providers offering sliding fee schedules are required to file the sliding fee discount program.
The sliding fee discount program can be filled out by providing information about the facility/provider, the sliding fee schedule, and the application process for patients.
The purpose of the sliding fee discount program is to ensure that healthcare services are accessible and affordable for low-income individuals and families.
The sliding fee discount program must include information such as the income thresholds for discounts, the application process, and the availability of discounts for different services.
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