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Sliding Fee Scale Discount Program: Affordable Health Care for Everyone

The Sliding Fee Scale Discount Program may help lower the cost of care based on your household size and income.

You can apply for the program online in English or Spanish. If you need help, our Customer Service Center and Enrollment Services team are here to guide you.

We want patients to feel comfortable asking questions and getting care, even if they are worried about cost.

Patient holding a Sliding Fee Scale Discount Program brochure at a Peak Vista health center

Understanding Costs and Coverage

Help Lowering Health Care Costs

Programs may be available to help lower the cost of medical, dental, and behavioral health services for eligible patients and families.

Continue Receiving Care While Applying

You can still receive care and ask questions while your Sliding Fee Scale Discount Program application is being reviewed.

Support Through Every Application Step

Enrollment Services can help explain the program, answer questions, and guide patients through the application process.

How the Sliding Fee Scale Discount Program Works

Understanding the Program

The Sliding Fee Scale Discount Program helps lower the cost of care for some patients and families. Discounts are based on household size and income.

The program may help patients with:
  • Medical care.
  • Dental care.
  • Behavioral health services.
  • Other health care costs.
Note: The program may be available whether you have insurance or not.

Why This Matters: Lower-cost care programs can help patients continue getting the care they need.

Discounts are based on the number of people in your household and your household income. Our team reviews this information to help decide what discount level may apply.

Information that may be reviewed includes:
  • Household size.
  • Income information.
  • Financial support information.
  • Other basic application details.
Note: Our team can help explain the process and answer questions.

Why This Matters: Understanding how discounts are reviewed can help patients feel more prepared and less stressed.

The program can lower out-of-pocket health care costs for eligible patients and families. Lower costs may make it easier to continue getting care over time.

The program may help patients:
  • Stay up to date with care.
  • Get care sooner when needed.
  • Reduce stress about healthcare costs.
  • Continue treatment or follow-up visits.
Care should feel possible, even during difficult financial times.

Why This Matters: Affordable care can help patients stay healthier and more connected to care.

The chart below shows income ranges for families of 1 to 16 people. These ranges are based on the Federal Poverty Level (FPL) up to 200%. The FPL is a national guide that helps decide who may qualify for lower health care costs. Our team can help explain the chart and answer questions about what information may apply to your situation.

If your household income and size fall within one of these ranges, you may qualify for a discount on services.

How larger family sizes work:
  • For each person beyond 8 people in your household, you add $5,500 to the 100% FPL amount.
  • For example, a household of 16 people has 8 more people than a family of 8. So you would start at $54,150 (the 100% FPL amount of 8 people) and add 8 x $5,500, which equals $98,150 for 100% FPL in 2025.
  • If you had 17 people, you would add another $5,500, for a total of $103,650 at 100% FPL and so on.
Read more information on Federal Poverty Levels & Guidelines(opens in a new tab).

You do not need to figure this out on your own. The chart can look confusing, but you’re not expected to read it by yourself. We’re here to make the process easy and to help you understand your options.

Patients at or below 100% FPL are not charged a fee for covered services. Patients above 100% FPL may have a small, reduced fee based on where they fall on the chart.

2025 Family Size and Income Chart
Family/Household Size1.0 ≤ 100% FPL2.0 ≤138% FPL3.0 ≤ 169% FPL4.0 ≤ 200% FPL
1$0 – $15,560$15,651 – $21,597$21,598 – $26,449$26,450 – $31,300
2$0 – $21,150$21,151 – $29,187$29,188 – $35,744$35,745 – $42,300
3$0 – $26,650$26,651 – $36,777$36,778 – $45,039$45,040 – $53,300
4$0 – $32,150$32,151 – $44,367$44,368 – $54,334$54,335 – $64,300
5$0 – $37,650$37,651 – $51,957$51,958 – $63,629$63,630 – $75,300
6$0 – $43,150$43,151 – $59,547$59,548 – $72,924$72,925 – $86,300
7$0 – $48,650$48,651 – $67,137$67,138 – $82,219$82,220 – $97,300
8$0 – $54,150$54,151 – $74,727$74,728 – $91,514$91,515 – $108,300
9$0 – $59,650$59,651 – $82,317$82,318 – $100,809$100,810 – $119,300
10$0 – $65,150$65,151 – $89,907$89,908 – $110,104$110,105 – $130,300
11$0 – $70,650$70,651 – $97,497$97,498 – $119,399$119,400 – $141,300
12$0 – $76,150$76,151 – $105,087$105,088 – $128,694$128,695 – $152,300
13$0 – $81,650$81,651 – $112,677$112,678 – $137,989$137,990 – $163,300
14$0 – $87,150$87,151 – $120,267$120,268 – $147,284$147,285 – $174,300
15$0 – $92,650$92,651 – $127,857$127,858 – $156,579$156,580 – $185,300
16$0 – $98,150$98,151 – $135,447$135,448 – $165,874$165,875 – $196,300
(Poverty Level)100%138%169%200%
Why This Matters: Understanding the chart can help patients feel more informed about possible support options.

Applying for the Program

How to Apply & What to Expect

You can apply for the Sliding Fee Scale Discount Program online. You do not need to meet with Enrollment Services before you apply. Our team will review your application and contact you about the result.

Here's how it works:

  1. Choose your language. Open the online application in English or Spanish.
  2. Complete the application. Fill out the form with your household and income information.
  3. Submit your application. Your form will be sent to Peak Vista's Enrollment Services team.
  4. Wait for our team to review it. We may contact you if we need more information.
  5. Get your results. Our team will contact you about your application and any discount you are approved for.

Need help applying? You can schedule an appointment with Enrollment Services for help with your application or questions about the program.

Why This Matters: You can apply from home without making an appointment first. If you need help, our team is here to support you.

When you apply online, you will be asked to share information about your household and income. Having this information ready can help you complete your application and avoid delays.

You may be asked to provide:
  • Proof of income.
  • Household information.
  • Personal identification.
  • Insurance information if available.
Bring what you can. Our team can help explain what may still be needed.

Why This Matters: Having your information ready can make it easier to apply. If you’re not sure what you need, Enrollment Services can help answer your questions.

If you are missing documents or are not sure what information to provide, you can schedule an appointment with Enrollment Services for help.

Here are a few things to know:
  • Some information may be shared through self-declaration.
  • our team can help explain what documents are needed.
  • Care will not be delayed while questions are reviewed.
  • Additional information may be requested later.
You do not need to have everything prepared before asking for help.

Why This Matters: Patients should still feel comfortable getting care even if paperwork is incomplete.

After you submit your application online, it will be sent to Peak Vista's Enrollment Services team. Our team will review your information and contact you about the result.

During the review process:

  • Our team checks the information you submitted.
  • We may contact you if we have questions or need more information.
  • We will let you know if your application is approved.
  • Any approved discount will begin after the review is complete.

You can still receive care while your application is being reviewed. Discounts are not available right away, but you will not be turned away because you cannot pay.

Why This Matters: You do not need to wonder what happens after you apply. Our team will review your information and let you know what comes next.

Ready to Apply or Renew?

You can apply for or renew your Sliding Fee Scale Discount Program online in English or Spanish. You do not need an Enrollment Services appointment before applying.

Getting Help and Support

Enrollment Services & Assistance

You can apply for the Sliding Fee Scale Discount Program online without an appointment. But if you have questions or need help applying, our Enrollment Services team is here for you.

Enrollment Services can help with:

  • Understanding the Sliding Fee Scale Discount Program.
  • Completing your application.
  • Questions about household and income documents.
  • Getting help with Medicaid and other health coverage options.

If you need support, schedule an appointment with Enrollment Services.

Why This Matters: You have the choice to apply on your own or get help from our team. You do not need to figure out the process by yourself.

You can apply for the Sliding Fee Scale Discount Program online in English or Spanish. You do not need to visit a health center or schedule an appointment before applying.

Choose the option that works best for you:

  • Apply online: Complete and submit your application in English or Spanish from home.
  • Get help from Enrollment Services: Schedule an appointment if you have questions about the program or need help applying.

Why This Matters: You can choose the option that works best for you, whether you want to apply online or meet with someone for help.

The Sliding Fee Scale Discount Program application is available online in English and Spanish. If you need help in another language, our Enrollment Services team can help you get language support.

Support services may include:
  • Spanish-speaking staff.
  • Interpreters for many languages.
  • Help understanding forms or instructions.
  • Assistance during appointments or applications.
Patients should feel comfortable asking questions in the language they know best.

Why This Matters: Clear communication can help patients feel more confident during the application process.

Frequently Asked Questions

Common Questions About Sliding Fee Program

All Peak Vista patients can apply for the Sliding Fee Scale Discount Program, whether they have insurance or not. Discounts are based on your household size and income, with different discount levels available for those earning up to 200% of the Federal Poverty Level (FPL).

Even if you're unsure whether you qualify, you can still apply. Our Enrollment Services team will review your application to see what discounts may be available to you. Why This Matters: You don't need to know if you qualify before applying. The program is here to help make health care more affordable for individuals and families.

No. Some patients may still receive support even if they do not have insurance.

Why This Matters: Patients should feel comfortable asking about support whether they have insurance or not.

The program helps lower health care costs, but some patients may still have costs depending on services and coverage.

Why This Matters: Understanding what the program does can help patients feel more prepared.

Patients must apply annually or when their information changes.

Why This Matters: Keeping information updated can help avoid delays in support.

Yes. Enrollment Services can help patients understand the program and complete the application process.

Why This Matters: Support is available to help patients feel more comfortable during the process.

Yes. You can complete and submit the application online in English or Spanish. Your application will be sent to Peak Vista’s Enrollment Services team for review.

Why This Matters: You can apply from home without visiting a health center.

No. You can apply online without an appointment. If you need help with the application or have questions, you can schedule an appointment with Enrollment Services.

Why This Matters: You can apply on your own or get help from our team.

Our Enrollment Services team will review your application. We may contact you if we need more information. We will also contact you about the result.

Why This Matters: You’ll know what to expect after submitting your application.

If you have issues with your online application for Peak Vista’s Sliding Fee Scale Discount Program, call our Customer Service Center at (719) 632-5700.

As a Federally Qualified Health Center (FQHC), Peak Vista Community Health Centers (PVCHC) provides high-quality, compassionate care to all patients, regardless of their ability to pay.

While your Sliding Fee Discount Program application is being processed, you may receive Sliding Fee Schedule Pending status. This allows you to receive medical, behavioral health, and eligible dental services at a reduced co-payment while PVCHC determines your eligibility.

If you or your children do not qualify for the Sliding Fee Discount Program, you may continue receiving care at PVCHC at the Full Fee/Self-Pay Rate. Payment is due at check-in, and payment arrangements are available upon request. You are also responsible for any outstanding balances on your account or other accounts for which you are the guarantor.