Discount Policy

Bethel Family Clinic Healthcare Discount Fee Policy

It is the policy of Bethel Family Clinic to provide essential medical services regardless of the patient’s ability to pay. Discounts are offered based upon household income and size. A sliding fee schedule is used to calculate the basic discount and is updated each year using the federal poverty guidelines. Once approved, the discount will be honored for six months, after which the patient must reapply.

Poverty Guidelines – 2012

Discount Application Process
A completed application including required documentation of the home address, household income, and insurance coverage must be on file and approved by the business office before a discount will be granted. If the applicant appears to be eligible for Medicaid, a written denial of coverage by Medicaid may also be required. Adolescent patients seeking confidential care are exempt from the application process, and services are provided at the nominal rate.

Download Application Here

The discount is applied to all in-office services and Off-site services supplied by XYZ Healthcare clinic providers.

Samples are provided, when available, without charge.

Lab & X-ray
The discount is applied to in-office laboratory and x-ray services. Reference laboratory tests and consulting radiology interpretations are excluded.

Comments are closed.