Glenns Ferry Health Center • Glenns Ferry, ID
Valley Health Center • Grand View, ID
Desert Sage Health Center • Mountain Home, ID

About Us

 

 

Glenns Ferry Health Center, Inc.

2017

Sliding Fee Schedule

 

 

 

 

 

 

* CO-PAYMENTS AND NOMINAL FEE DUE AT TIME OF SERVICE *

 

 

 

Medical

Dental

Preventive

Basic

Elective

 

 

Discount

 

100%

 

100%

100%

100%

 

Income Range

Discount

 

75%

 

75%

75%

60%

 

Income Range

Discount

 

50%

 

50%

50%

40%

 

Income Range

Discount

 

25%

 

25%

25%

20%

 

Income Range

Discount

 

0%

 

0%

0%

0%

 

Income Range

Family

Size

Below 100%

Poverty

135%

150%

200%

 

> 200%

1

0 – 12,060

12,061 – 16,281

16,282 – 18,090

18,091  - 24,120

24,121

2

0 – 16,240

16,241 – 21,924

21,925 – 24,360

24,361 - 32,480

32,481

3

0 – 20,420

20,421 – 27,567

27,568 – 30,630

30,631 - 40,840

40,841

4

0 – 24,600

24,601 –33,210

33,211 – 36,900

36,901 – 49,200

49,201

5

0 – 28,780

28,781 – 38,853

38,854 – 43,170

43,171 – 57,560

57,561

6

0 – 32,960

32,961 – 44,496

44,496 – 49,440

49,441 – 65,920

65,921

7

0 – 37,140

37,141 – 50,139

50,139 – 55,710

55,711 –74,280

74,281

8

0 – 41,320

41,321 – 55,782

55,783 – 61,980

61,981 – 82,640

82,641

9

0 – 45,500

45,501 – 61,425

61,426– 68,250

68,251 – 91,000

91,001

10

0 – 49,680

49,681 – 67,068

67,069 – 74,520

74,521 – 99,360

99,361

11

0 – 53,860

53,861 – 72,711

72,712 – 80,790

80,791 – 107,720

107,721

12

0 – 58,040

58,041 – 78,354

78,355 – 87,060

 87,061  - 116,080

116,081

13

0 – 62,220

62,221 – 83,997

83,998 – 93,330 

93,331 – 124,440

124,441

 

Income levels are based on the 2017 Federal Poverty Guidelines. 

Each additional person, add $4,180

 

Nominal Fees

Medical                          $20 plus the cost of supplies.

 

Dental

  Preventive                     $35 plus the cost of supplies.

  Basic                             $35 plus the cost of supplies                              

  Elective                         $45 plus the cost of supplies

 

The cost of supplies that are related to but not incidental to the visit are provided to the patient in advance.  An example of a supply may be external lab work, a medical boot, crowns or dentures.

 

To participate in the sliding fee program and to learn more about eligibility ask any staff member for a Reduced Fee Application. 

 

Glenns Ferry Health Center, Inc.

2017

Sliding Fee Schedule

 

 

 

 

 

 * Co-Pagos y pago nominal es debido al momento del Servicio *

 

 

Médicó

Dental

Preventivo

Basico

Electivo

 

 

Descuento

 

100%

 

100%

100%

100%

 

Variación de ingresos

Descuento

 

75%

 

75%

75%

60%

 

Variación de ingresos

Descuento

 

50%

 

50%

50%

40%

 

Variación de ingresos

Descuento

 

25%

 

25%

25%

20%

 

Variación de ingresos

Descuento

 

0%

 

0%

0%

0%

 

Variación de ingresos

Tamaño de Familia

 

Por debajo del 100% Pobreza

135%

150%

200%

 

> 200%

1

0 – 12,060

12,061 – 16,281

16,282 – 18,090

18,091  - 24,120

24,121

2

0 – 16,240

16,241 – 21,924

21,925 – 24,360

24,361 - 32,480

32,481

3

0 – 20,420

20,421 – 27,567

27,568 – 30,630

30,631 - 40,840

40,841

4

0 – 24,600

24,601 –33,210

33,211 – 36,900

36,901 – 49,200

49,201

5

0 – 28,780

28,781 – 38,853

38,854 – 43,170

43,171 – 57,560

57,561

6

0 – 32,960

32,961 – 44,496

44,496 – 49,440

49,441 – 65,920

65,921

7

0 – 37,140

37,141 – 50,139

50,139 – 55,710

55,711 –74,280

74,281

8

0 – 41,320

41,321 – 55,782

55,783 – 61,980

61,981 – 82,640

82,641

9

0 – 45,500

45,501 – 61,425

61,426– 68,250

68,251 – 91,000

91,001

10

0 – 49,680

49,681 – 67,068

67,069 – 74,520

74,521 – 99,360

99,361

11

0 – 53,860

53,861 – 72,711

72,712 – 80,790

80,791 – 107,720

107,721

12

0 – 58,040

58,041 – 78,354

78,355 – 87,060

 87,061  - 116,080

116,081

13

0 – 62,220

62,221 – 83,997

83,998 – 93,330 

93,331 – 124,440

124,441

 
 
Los niveles de ingresos se basan en las Guías de Pobreza Federal de 2017
Cada persona adicional, agregue $4,180

 

Tasas nominales         

 

Medicó                            $20 Además del costo de los suministros.

Dental

  Preventivo                     $35 Además del costo de los suministros.

  Basic                             $35 Además del costo de los suministros.       

  Electivo                         $45 Además del costo de los suministros.

 

El costo de los suministros que están relacionados con la visita, pero no son incidentales, se proporcionan al paciente con por adelantado. Un ejemplo de un suministro puede ser un trabajo de laboratorio externo, una bota médica, una corona o dentaduras postizas.

Para participar en el programa de tarifas corrientes y para obtener más información sobre la elegibilidad, pida a cualquier miembro del personal una solicitud de tarifa reducida.

 

Page Type: 
About Us

Glenns Ferry: (208) 366-7416 • Grand View: (208) 834-2929 • Mountain Home: (208) 587-3988