What is Sliding Fee Scale?
The Sliding Fee Scale Discount Policy is designed to provide discounted care to individuals who do not have and/or have limited resources to pay for medical services that are part of CHFPR's scope of services. Any person who understands can apply must consult with the CHFPR officer to perform the payment capacity analysis and determine the corresponding payment capacity level.
Purpose
Community Health Foundation of Puerto Rico, Inc. (CHFPR) will offer a tiered discount rate to all those who cannot pay for their medical services and/or have limited health coverage. Eligibility will be based on a person's ability to pay and does not discriminate on the basis of age, gender, race, sexual orientation, religion, disability or national origin. The federal poverty tables are the instrument used to create and annually update the rates to determine the corresponding poverty level.
Objective
Eliminate all economic barriers when needing health services. Ensure that all patients seeking health services are served without regard to ability to pay.
"We guarantee that all patients seeking healthcare services at CHFPR will be seen regardless of their ability to pay. We do not deny service to anyone due to a lack of financial resources."
Who qualifies?
To participate in the tiered discount program, anyone whose family income is up to 200% of the federal poverty level qualifies. Depending on income and family composition, the discount applicable to medical services received will be determined. Patients with health insurance are also eligible for the program.
How is it determined family composition?
Family composition is determined by taking into account the size of your family. Family members are considered to be relatives residing in the same household, including, but not limited to, common-law partners and dependents 21 years of age or younger (26 years of age if a full-time student).
What is considered income?
Gross salary (before deduction) Net receipts from self-employment Regular payments of Social Security, pensions, unemployment and public assistance Alimony Scholarships and university aid Dividends, rental income Lottery or gambling winnings Donations Maintenance, stipend, etc.
Valid proof of income include:
Two (2) recent checkbooks:
- Last income tax return submitted
- Government Assistance Document
- Alimony document
- Letter from the employer on letterhead, dated and signed by a supervisor
- Scholarship or student assistance award letter
- Any other document that proves income
Patients who do not present evidence of income will be allowed to declare the same for the first visit and/or before the term of eligibility expires. The declaration of eligibility will expire 30 calendar days from when it was requested, so it requires the patient to provide some of the necessary documents. 100% of the established fee will be charged to any patient who does not present evidence of income within a period of 30 calendar days following the date of request.