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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.

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

Why Choose Peak Vista for Your Care

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

Applying for the program is meant to be simple and supportive. Enrollment Services can help guide patients through each step.

The process may include:
  • Contacting Enrollment Services.
  • Completing an application.
  • Sharing household and income information.
  • Reviewing available discount options.
  • Receiving approval information.
Note: You can ask questions at any point during the process.

Why This Matters: Clear steps can help patients feel more comfortable applying for support.

Some information may be needed to review your application. This helps our team understand what programs or discounts may be available.

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 the right information can help the application process move more smoothly.

You can still ask for help even if you do not have every document right away. Missing paperwork should not stop patients from asking questions or receiving care.

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.

You can still receive care while your application is being reviewed. Review timelines may be different depending on the information provided and application volume.

During the review process:
  • Our team reviews your application information.
  • Additional questions may come up.
  • You may be contacted if more information is needed.
  • Approved discounts begin after review is complete.
Note: Please continue asking questions if you are unsure about the process.

Why This Matters: Understanding the review process can help reduce stress and uncertainty during the application period.

Getting Help and Support

Enrollment Services & Assistance

Enrollment Services can help patients understand the Sliding Fee Scale Discount Program and complete the application process. Our team can also help answer questions about available support options.

Enrollment Services may help with:
  • Applications and forms.
  • Questions about documents.
  • Insurance or coverage support.
  • Program information and next steps.
Note: You do not need to figure out the process on your own.

Why This Matters: Support from Enrollment Services can make the process feel easier and less stressful.

Patients can apply for the program or ask questions in several ways. Help may be available by phone, in person, or through other support options.

You may be able to:
  • Call for assistance.
  • Visit a health center for support.
  • Ask questions during appointments.
  • Get help from Enrollment Services staff.
Contact information and support locations may vary by health center.

Why This Matters: Easy access to support can help patients feel more comfortable asking for help.

Language support is available to help patients understand the application process and ask questions comfortably. Peak Vista wants patients to feel supported throughout the process.

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.

Why This Matters: Support programs may be available for more patients than people expect.

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.