Uninsured or Underinsured?
Our Adjustable Payment Plan Ensures You Can Access Care
The Adjustable Payment Plan (APP) is available to any patient utilizing our family of clinics. Patients that are uninsured, underinsured, and/or have been denied health insurance and whose income is at or below the 200% of the current Federal Poverty Guidelines may qualify for this program.
Eligibility is based on your gross family income (total income from all working members of the household) and family size (the number of people living in your household).
This program follows a sliding fee scale, which means your payment amount may be adjusted based on your income and household size.
“You can see a provider and receive healthcare services on a sliding-fee-scale (if you qualify).”
At Central North Alabama Health Services, Inc.’s Family Health Centers we serve all patients regardless of their ability to pay.
Apply for the Adjustable Payment Plan
Step 1: Gather Your Household's Information
(1) Your Gross Household Income: current 2 pay stubs, SSI, Recent Taxes, etc. for every member of your household. Read more below "What is Household Income?".
(2) Your Photo ID
(3) Your Insurance Information and Card (if applicable)
Step 2: Complete and Submit Your Application
You can download and complete our Adjustable Payment Plan Application ahead of time or complete the application in our office.
You will submit your completed application at any of our health center locations. Please make sure to bring the household information items referenced above in step 1.
Your payments will be adjusted on a sliding fee scale. Medical visits begin at $20 for those that qualify. Dental visits, chiropractic visits, pharmacy, etc. have different nominal/minimal fees. These will be covered with you after establishing your eligibility.
What income documentation is needed?
Your household income will be taken into account when you apply. Household income includes the total earnings from all members of a household. This can include:
- Wages or salary
- Unemployment benefits
- Workers’ compensation
- Social Security benefits
- Supplemental Security Income (SSI)
- Public assistance or welfare
- Veterans’ benefits
- Survivor benefits
- Pension or retirement income
- Interest, dividends, rents, or royalties
- Income from estates or trusts
- Educational assistance (scholarships, etc.)
- Alimony or child support
- Support from outside the household
- Any other sources of income
Note that noncash benefits, such as food stamps or housing assistance, are not counted as income.
Who counts as part of my family?
A family is defined as a group of two or more people who are related by birth, marriage, or adoption and live together. All people in this group, including subfamily members, are considered part of the same family for our application purposes.
Additionally, a family can also refer to anyone who receives more than 50% of their support from the head of household, even if they don’t live in the same home. For students, proof of income from family members providing more than 50% of support is required, along with any grants or financial aid received for school.
Frequently Asked Questions
The Adjustable Payment Plan (APP) is a sliding fee program that is based on your household’s income and family size. Once you apply and qualify, the APP helps lower your patient responsibility, making healthcare affordable.
For example: Ann receives several services that total $500. Ann is uninsured and has qualified and applied for the Adjustable Payment Plan. Her total patient responsibility is adjusted and reduced to a total of $25.
All patients that have no insurance or are underinsured are encouraged to apply. Patients may qualify if their household income is at or below 200% of the Federal Government’s Poverty Guidelines.
Once qualified/approved, the individual will remain qualified for a period of 1 year, unless a change in family size or family income is reported that will change the APP category or eligibility for the adjustment/discount.
You can apply during regular business hours at any of our health centers. See our health center locations.
To apply you must complete the Adjustable Payment Plan application and provide the requested documentation. This information will be used to establish your eligibility for the program. For those that qualify, our staff will review your financial responsibility and benefits with you.
Households that are living at or below 200% of the Federal Poverty Guidelines will fall into one of the categories below (A-E). Each category has a different nominal fee or minimal fee per visit. Pharmacy, Chiropractic Services, and Dental Services have different fees. After establishing eligibility, our registration specialist will review your financial responsibility in full.
*Please note that your level of adjustment will be based on the Federal Poverty Guidelines as published every year by the U.S Department of Health and Human Services and that your total patient responsibility may be greater than your minimal fee.
For those patients that choose not to provide information required by CNAHSI to determine family size and income, even after being informed that they may qualify for adjustments/discounts, are viewed as declining eligibility for APP. CNAHSI will consider these patients to be ineligible for such discounts.
The Federal Poverty Guidelines are issued each year in the Federal Register by the Department of Health and Human Services (HHS). They are used to determine financial eligibility for many federal programs.
All services within CNAHSI’s approved scope of project for which CNAHSI charges patients is offered on the APP.
Any member of the household listed on the application as a dependent may be eligible for the Program (eligible family members must also be uninsured/ underinsured).
Please bring proof of:
(1) Your Gross Household Income: current 2 pay stubs, SSI, Recent Taxes, etc. for every member of your household.
(2) Your Photo ID
If you are having issues with demonstrating proof, please call your local health center and ask to talk to a Registration Specialist.
(3) Insurance information (if applicable)