Care 4 U Community Health Center (C4UCHC) is not a free clinic. However, we offer services to all patients, regardless of their ability to pay. Discounted fees are available based on family income, family size, and the annual federal poverty level. To qualify for these discounts, your total family income for your family size must be at or below 200% of the federal poverty level. These discounted fees are available to all patients, regardless of their insurance status.

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Applying for Sliding Scale Discounts

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To apply for discounted fees, please complete and submit the Sliding Scale Discount Application at the registration desk along with the required proof of family income and family size during your first appointment and annually thereafter. Acceptable proof of income includes:

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• Proof of Income: One month of consecutive pay stubs, a letter of salary, 1040 Tax Form, Unemployment letter, Social Security award letter, or a Support letter (also called ‘Verification of No Income’). If you have no income, this letter must be notarized. Please ask the registration desk for other accepted documents.

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• Family Size Information: Documents such as food stamp applications, birth certificates, etc., that provide proof of your family size.

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• Willingness to Complete the Application: Ensure you complete and submit the application with all required documentation.

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Billing Statements and Balances

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C4UCHC requires the payment of co-pays, deductibles, and all fees before your visit. We will bill your insurance for covered services; however, you will be billed for any services for which you are financially responsible.

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You will receive a bill for all services rendered, including the cost of each service, at the end of each visit. If you have any questions about your bill, please call us at (305) 835-0101.