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How Sliding-Scale Healthcare Fees Work


A sliding-fee program reduces healthcare charges according to a patient’s ability to pay.

At many community health centers, the discount is based primarily on:

  • Household income
  • Family or household size

The clinic compares this information with its current fee-discount schedule. The amount owed may range from a nominal charge to a partial discount or the full standard fee.

A sliding scale does not necessarily mean care is free.

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