Sliding Fee Program
- Schedule -
|
Level A $20.00 |
Level B $40.00 |
Level C $60.00 |
Level D $80.00 |
Level E $100.00 |
These prices DO NOT include lab charges. Dental minimum pay is $30.00.
- Eligibility -
Documentation is required every six (6) months.
|
1
|
Proof of Identification
Must provide two (2) proof of ID from list below for applicant and one (1) proof of ID for co-applicants.
|
|
2
|
Proof of Income
Proof of income for every individual over the age of 18.
|
or...
Proof of NO Income
|
For information regarding our Sliding Fee Application, please contact
our Patient Representative at 912-287-9140 ext. 118.
our Patient Representative at 912-287-9140 ext. 118.
