Sliding Fee Discount Schedule (ATP)

To qualify for the Sliding Fee Discount Schedule (ATP) Program, total income must be at 200% or below the current Federal Poverty Guidelines (FPG). Proof of ineligibility for Medi-Cal may also be required. A signed self-declaration provides provisional approval; applicants then have ten business days to submit a completed program application in conjunction with required verifications as indicated on the Documentation Checklist.

We do not discriminate patients based upon the individual's inability to pay; whether payment for services would be made under Medicare, Medicaid, or CHIP; or the individual's race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity. A discounted/sliding fee schedule is available based on family size and income.

Office visit charges and other clinic services are based on family household size and income level. For qualifying individuals/families living at or below 200% of current FPG, a medical office visit charge will range from $20 to $55, depending on Sliding Fee Discount Schedule (ATP) Tier. Procedures and other services may also be discounted, depending on ATP Tier.

The Sliding Fee Discount Schedule (ATP) Tier determines a participant’s office visit costs and the discount that will be applied to other charges, including procedure, laboratory, and radiology services. Patients have a provisional 30 day intial approval to gather financial information and complete the application.

Following application verification, staff will provide you with office visit cost information, as well as discount rates for other services. Please remember that these charges may be subject to changes imposed by federal directives or County policy.

Once verified, an approved application typically qualifies for one full year of Sliding Fee Discount Schedule (ATP) participation.

The self-declaration form provides provisional approval for one discounted office visit. Verification should be completed within ten business days or you may be required to pay the full cost of your next office visit. The full cost of an office visit, with no additional services, typically ranges from $118 to more than $200.

For self-pay patients who do not qualify for the Sliding Fee Discount Schedule (ATP) Program, an office visit charge to see a medical care provider is $82 if paid in full on the date of service; however, this does not include other procedures and services. If not paid in full on the date of service, typical office visit costs can range from $50-$452.

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