Low Cost / Free Counseling Program

PURPOSE:
This program is designed to provide free or discounted care to those who have no means, or limited means, to pay for their medical services (Uninsured or Underinsured). In addition to quality healthcare, patients are entitled to financial counseling by someone who can understand and offer possible solutions for those who cannot pay in full. The Patient Account Representative’s role is that of patient advocate, that Is, one who works with the patient and/or guarantor to find reasonable payment alternatives.

Ability Health and Rehabilitation, LLC will offer a Slid in g Fee Discount Program to all who are unable to pay for their services. Ability Health and Rehabilitation, LLC will base program eligibility on a person’s ability to pay and will not discriminate based on age, gender, race, sexual orientation, gender identity creed, religion, disability, or national origin. The Federal Poverty Guidelines are used in creating and annually updating the sliding fee schedule SFSI to determine eligibility.

 

ELIGIBILITY:
Discounts will be based on income and family size only. Ability Health and Rehabilitation, LLC uses the Census Bureau definitions of each.

  • Family is defined as: a group of two people or more (one of whom is the householder) related by birth, marriage, or adoption and residing together; all such people (including related subfamily members) are considered as members of one family.
  • Income includes: earnings, unemployment compensation, workers’ compensation, Social Security, Supplemental Security Income, public assistance, veterans’ payments, survivor benefits, pension or retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, assistance from outside the household, and other miscellaneous sources. Noncash benefits (such as food stamps and housing subsidies) do not count.

 

Income Verification:
Applicants must provide one of the following: prior year W-2, two most recent pay stubs, letter from employer, or form 4506-T (if W-2 not filed). Self-employed individuals will be required to submit detail of the most recent three months of income and expenses for the business. Adequate information must be made available to determine eligibility for the program. Self-­ declaration of Income may only be used in special circumstances. Specific examples include participants who are homeless. Patients who are unable to provide written verification must provide a signed statement of income, and why (s)he is unable to provide independent verification. This statement will be presented to Ability Health and Rehabilitation, LLC owner or her designee for review and final determination as to the sliding fee percentage. Self-declared patients will be responsible for 100% of their charges until management determines the appropriate category.

 

NOTICE TO PATIENTS:
This practice serves all patients regardless of inability to pay.
Discounts for essential services are offered based on family size and income.
For more information, ask at the front desk or visit our website.
Thank you.