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fee OPTIONS
Harrisonburg Community Health Center is a federally qualified health center and receives support from the U.S. Public Health Service, Bureau of Primary Health Care. In return for this support, our Community Health Center provides discounts and services to those patients who meet certain eligibility requirements. Eligibility for fee discounts is based upon the amount of income that is received by the household and the number of people who live in the household.
For a downloadable version of our Fee Options visit our Forms & Documents page.
The Harrisonburg Community Health Center offers a Sliding Fee Discount Program for services provided at the Community Health Center. For assistance with making payments for care you have received at the Community Health Center, a Payment Plan may be established but must be paid in full prior to the next visit.
Payment Plans may be offered to Community Health Center patients whose eligibility for discounted services has been determined. If a Payment Plan is established, the patient must use that plan to pay the entire balance of their bill.
The SLIDING FEE DISCOUNT PROGRAM
The sliding fee discount program is offered only for services provided at Harrisonburg Community Health Center.
In order to be eligible for the Discount Program, all program guidelines must be followed completely. These include:
- An application to determine eligibility must be filled out. Click here to download our Sliding Fee Application.
- The Community Health Center must have verification of all income that is received in the household. This may be in the form of check stubs, income tax returns, letter from the Social Security Administration, or any other similar agency.
- If there is NO income, then the Community Health Center requires the completion of “Food and Shelter Forms.” and/or Proof of Support Document. These forms document the lack of income for the entire household. This document verifies how certain household expenses (i.e. food and shelter) are being paid.
The household income and the number residing in the household are compared to the Sliding Fee Scale used by the Community Health Center, which is developed using the current Federal Poverty Guidelines. If the patient’s information falls into one of the sliding fee discount levels, the patient’s fees for the visit are adjusted accordingly.
There is no charge for Lab visits regardless of the number of tests completed at that visit, for all patients eligible for sliding fee discounts.
Patients will be asked to update their information upon presenting to the Community Health Center for a medical visit after the anniversary date of their first visit. Discounts will not be given to anyone who does not follow the guidelines. The Community Health Center must have all requested information or the patient will be responsible for the full fees of the services provided.
All routine and urgent care visits are discounted.
Complete examinations that are requested or approved by Community Health Center providers are discounted.
All lab tests that are ordered by a Community Health Center provider are discounted.
All EKG, Visual Acuity Tests, Peak Flow Determination, and other diagnostic tests performed or ordered by a Community Health Center provider are discounted.
All treatment procedures, including minor surgery services performed or ordered by Community Health Center providers are discounted.
All medications given to a patient during an office visit at the Community Health Center are discounted.
Supplies like splints, eye patches, and wound dressings that are used during an office visit at the Community Health Center are discounted.
Supplies that are NOT DISCOUNTED are crutches, wheelchairs, walkers, air or gel casts, or other durable medical supplies.
