No health or prescription insurance, Medicaid, or CHIP?
We can help!

helping-hands_adult-child.jpg

Sliding Fee Discount Program

Our patient assistance program gives you a percentage discount on our services, including discount medications from our Smithville Clinic In-House Pharmacy! Your exact discount is calculated based on your household size, household income, and the Federal Poverty Level (FPL). We can provide help for those with a household income below 200% of the FPL. Once your application is approved, your discount can be used at any Access Family Health location, including our in-house pharmacy and Dental Clinic.

No income? You may still qualify.


- Find Out If You Qualify -

Household/
Family Size
Annual Household Income
1 $24,281
2 $32,921
3 $41,561
4 $50,201
5 $58,841
6 $67,481
  • Using the chart above, find the number of people in your household and determine if your annual household income is greater than the amount shown.

  • If it is greater, unfortunately you don't qualify.

  • If it is less than the amount shown, then you qualify!


If you qualify and want to apply, you can...

Completed applications, along with all required documentation, can be...

  • scanned and emailed to assistance@accessfamilyhealth.com

    • Free scanning apps can be found on the App Store or Google Play Store.

    • Documents must be in one of the following formats:

      • .pdf

      • .jpg/.jpeg

      • .png

  • dropped off at any of our locations, or if you already have an appointment scheduled, simply bring them with you and give to the receptionist at check-in.

A list of required documentation and other program info can be found in the Sliding Fee Application Packet.

Questions?? Just call or email us. We'll be glad to help!