To help people get the care they need, RiverStone Health medical and dental clinics offer a sliding fee scale to help you pay for the for the services you receive. The fee scale is based on income and family size and we are able to provide payment assistance because RiverStone Health is a Federally Qualified Health Center. Check the chart to see if your income may qualify you for discounted services. At your appointment, you will need to provide proof of your household income and family size so we can verify your eligibility. Below are some commons forms of eligibility proof:
- One month of the most recent pay stubs for all employed adults in your household
- Unemployment check stubs
- Social Security statement
- Most recent year’s federal income tax return
If you do not have any type of income, the person who is providing support for you must fill out a Patient Income Attestation form.
Applications for the sliding fee discounts are updated each year and changes in income or the size of your household must be reported as they occur.
For more information: Financial Policies and Available Assistance for Clinic and Dental Services.