Uninsured or Underinsured?
Our clinics offer an Adjustable Payment Plan (APP) designed to help patients manage healthcare costs. If you are uninsured, underinsured, or have been denied health insurance, you may be eligible for this program. Your plan’s payment level is calculated using a sliding scale based on your household’s total income and the number of people in your family. This helps make your medical costs more manageable.
At Central North Alabama Health Services, Inc.’s Family Health Centers, we offer an adjustable payment plan to help with healthcare costs.
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)
(4) Demographic information (address, zip code , telephone number, etc.)
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.
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 financial responsibility, making healthcare affordable.
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.
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)
You can apply during regular business hours at any of our health centers. See our health center locations and hours of operation.
Patients will need to reapply every twelve months.
Once qualified/approved, the individual will remain qualified for a period of 1 year, unless there is a change in family size or family income. Patients are required to update the front desk of any changes to family size, insurance status, household income, and any change to an address, including a new zip code.
To qualify you must complete the Adjustable Payment Plan application and provide the required documentation. This information will be used to establish your eligibility for the program using the current year’s Federal Poverty Guidelines based on family size and family income.
Households that are living at or below 200% of the Federal Poverty Guidelines will qualify for a payment category. Each category has a different nominal payment or minimal payment per visit. Pharmacy, Chiropractic Services, and Dental Services have different fees. After establishing eligibility, our eligibility specialist will review your financial responsibility with you.
*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 financial responsibility may be greater than your nominal or minimal payment.
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 payment adjustments, are viewed as declining eligibility for APP. CNAHSI will consider these patients to be ineligible for such adjustments.
All primary care services that are provided by Central North Alabama Health Services, Inc. (CNAHSI) at our health centers are covered. See all CNAHSI services here.