Sliding Fee Discount Program

No one will be denied access to services due to their inability to pay.
 There is a discounted/sliding fee schedule available based on family size and income.

A nadie se le negará el acceso a los servicios debido a su incapacidad para pagar.
Hay un cronograma de tarifas variables/con descuento disponible según el tamaño de la familia y los ingresos.

 

Payment is expected at the time of service.

Please note that payment in full at the time of service will qualify for an additional discount-

10% for Dental/Medical, 15% for 65 and over Dental only.

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At Mountain Valleys Health Centers, we are committed to providing quality, affordable health and dental care to our patients and communities. As a non-profit health and dental care provider and recipient of federal funding, MVHC accepts most insurances including Medi-Cal and Medicare, and welcomes all patients, regardless of their financial standing. The Sliding Fee Discount Program is offered to all patients.

 

For more information or to receive help with the application, please contact the MVHC Enrollment Liaison at (530) 999-0167. 

 

In order to establish your eligibility for this program, MVHC requires proof of your household income, household size, and a commitment from the patient to provide updated information annually to renew eligibility. Examples of documents that prove income may include:

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• W-2 form

• Tax return (required if using self-employment earnings)

• Pay stubs (2 are needed)

• Social Security/SSI benefit statement letter

• IRS Form 1099-G (unemployment benefits)

• Bank statement showing direct deposit by name

• Letter from an employer documenting employment and income

• Unemployment payment stub

 

Patients will have 15 days from the date of service to submit a completed application with proof of income. Submitting an application does not guarantee eligibility for a Sliding Fee Discount and patients are responsible for all fees incurred until they are determined to be eligible. Applications may be submitted at any time for future service and patients are encouraged to pursue any medical or dental care necessary for their well-being regardless of eligibility.

 

Patients who decline or fail to provide the required information will not be eligible for the Sliding Fee Discount Program.