Sliding Scale Fee
Care 4 U Community Health Center (C4UCHC) is not a free clinic. Services are offered to patients regardless of their ability to pay. Discounted fees are based on family income and family size and the annual federal poverty level. To qualify your total family income for your family size must be at or below 200% of the federal poverty level. Discounted fees are available to patient regardless of insurance status.
You may apply for discounted fees by completing and submitting the Sliding Scale Discount Application at the registration desk with the required proof of family income and family size at your ﬁrst appointment and annually thereafter. The following documents are acceptable proof of income:
Proof of Income (one month of consecutive pay stubs or letter of salary, 1040 Tax Form, Unemployment letter, Social Security award letter or a Support letter, also called ‘Veriﬁcation of No Income’ (for those with no income) - This letter must be notarized) Ask the registration desk for other accepted documents.
Family size information (found on foodstamp application, birth certiﬁcates, etc.)
Willingness to complete the application.
Billing Statements and Balances
C4UCHC collects co-pays, deductibles and all fees before your visit. We will bill your insurance for covered services. However, we will bill you for all services that you are ﬁ nancially responsible for paying.
You will receive a bill for all services rendered and the cost of each service at the end of each visit. Please call us at (305) 835-0101 if you have any questions about your bill.