AFFORDABLE HEALTH CARE - midwest-site
Family Health / La Clinica
AFFORDABLE CARE PROGRAM -- A SU ALCANÇE
Family Health / La Clinica (FHLC) is a Community and Migrant Health Center. The center delivers medical, dental, health education, nutrition and other health services. Our financial supporters require that all services and programs be available to all people regardless of health insurance status or ability to pay. We accept patients with Medicaid (BadgerCare Plus) and/or Medicare. We also accept patients with insurance like area HMOs, managed care plans, and traditional health insurance…and we bill those plans for our patients. We also participate in Wisconsin’s Well Women’s Program, BadgerCare Plus Express Access for pregnant women and children, Vaccines for Children Program, and a variety of other wellness and prevention programs. FHLC services are also available to undocumented immigrants.
As a mission-driven non-profit organization, FHLC has an Affordable Care Program for people with limited income or ability to pay. This program allows FHLC to reduce the amount people have to pay out-of-pocket for services at FHLC. Affordable Care (“A Su Alcance” in Spanish) is for people and families with income below 200% of the federal poverty level. Insured people and those with Medicare are also eligible for this program if they meet the income guidelines. Affordable Care reduces any fees not covered by the patients insurance that they normally would have to pay out-of-pocket. For qualified insured patients, the Affordable Care sliding fee discount is applied on whatever portion of fees that their insurance does not cover. Medicaid recipients can be qualified for this program’s sliding fees for services not covered by Medicaid. ALL PEOPLE ARE ELIGIBLE for FHLC’s Affordable Care Program including area residents, migrant farmworkers, and immigrants lacking official documents. Also, as a Federally Qualified Health Center, FHLC waives the $100 Medicare deductible for its Medicare patients.
FHLC does not screen all patients for its Affordable Care Program. If you have difficulty paying for health care, you should ask our staff about Affordable Care when you call or visit to the center. They will need information on your family size and income. Verification of income in the form of pay stubs, tax forms or other acceptable documents is required or for newly arrived immigrant or migrant farmworker, self declaration can be accepted for a 90 day period. Until a patient’s application is complete and approved, the patient is expected to pay the sliding fees amount but full fees will remain on that patients account. You must produce documentation of income within 30 days or you will be expected to pay full fees. Once income verification is received and the application is complete, it is reviewed for approval. FHLC reserves the right to check employer and other sources for accuracy. FHLC requires that patients report any changes in family size and income, and FHLC reserves the right to ask patients to re-apply at any time.
AT FHLC Everyone payS something!...even under Affordable Care. People without insurance and below the poverty level must still pay the minimum fee which is currently $10.00 per visit. To help families in this minimum fee group, only one minimum fee is required per family per day regardless of the number of family members seen that day. People with incomes between the poverty level and 200% of poverty are required to pay 10%, 40%, or 70% of fees. A requirement of federal funding is that people with income over 200% of poverty must pay the full usual and customary fees the center sets each year for its services.
January 23, 2008
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