Federal Sliding Fee Scale Discount Program

The Federal Sliding Fee Discount Program allows you to receive medical, behavioral, and optometry healthcare between $5 – $50 dollars per visit, or dental services at an affordable range between $20 and $80. So that Raphael Health Center (Raphael) can help you qualify or recertify for enrollment, you must provide the following documents to determine eligibility:

Please request to speak to a Financial Navigator if you have any questions concerning required documentation.

Health Care Coverage Assistance

During your appointment with Raphael’s Financial Navigators we can see if you qualify for health care coverage such as Medicaid, HIP, or Marketplace. This will help provide you with medical coverage for services at Raphael, as well as when you need them outside of Raphael.

Disqualifying Reasons

Not providing Raphael Health Center with the necessary documents to determine income and family size could disqualify you from the Sliding Fee Discount Program. Raphael will waive the requirement of providing this information for the first visit only, and you will be charged a nominal fee of $25. After the first visit, if the required documents are not provided to Raphael’s Financial Navigators, you will be responsible for paying for the full cost of the services provided.

Please ask to meet with a Raphael Health Center Financial Navigator if you are interested in applying for the Raphael Sliding Fee Discount Program.

*Based on 2022 HHS poverty Guidelines (https://aspe.hhs.gov/poverty-guidelines)
**NOTE: Assessment of your household income will be done annually or upon a change to your income or household size.