InclusivCare Payment Policy
InclusivCare accepts all Health Plans, Insurance Plans and Private Pay Patients.
Sliding Fee
The mission of InclusivCare is to assure that quality healthcare is accessible and affordable to the medically underserved, uninsured, under-insured, and low to moderate income residents. To assure affordability, the Sliding Fee Discount Program (SFDP) is designed to assist eligible patients with accessing quality healthcare regardless of their inability to pay. The SFDP only applies to activities and services within InclusivCare's approved scope of project. Eligible patients will be assessed on a sliding fee scale using family size and income. Signs are posted in all waiting and reception areas throughout the center to inform individuals of the SFDP. InclusivCare provides services and access to care without regard to age, gender, race, sexual preference, disability, religion, or financial resource.
Procedures: Any individual is offered the opportunity to apply for the sliding scale discount. Patient will be directed to a counselor who will explain to the patient the process for applying for the sliding discount. Counselor will inform patient of the information that will be required of them in order to qualify for the discount program. Proof of income can consist of the following:

-Current check stub
-Budget sheet
-Income award letter
-Prior year tax return
-W-2 form
-Signed statement from employer
-Self-Declaration (last resort)

Counselor will enter patient’s income information and household size into the household assessment. Once the percentage of the sliding discount is determined, the patient is informed of the percentage they will be responsible for. The income verification will be scanned into the patient’s electronic chart. If patient cannot present verification of income, the patient will write a self-declaration about their income. Counselor will explain to patient the self-declaration will only allow for one (1) office visit. Counselor will stress the importance of bringing the household income information in order to continue using the sliding scale. Counselor to document in case record to notify receptionist of information needed from patient.