Sliding fee Information
Our Sliding Fee Discount Program is designed to help you pay for services provided by Katy Trail Community Health. This includes medical and behavioral health care services.
• Sliding Fee applications are good from May 1st through April 30th and are based on poverty guidelines provided annually by the U. S. Government. You must complete a new application yearly, even if your income has not changed.
• To qualify, bring in one of these documents: your previous year income tax return, previous year W2 form, one month paycheck stubs/child support (paid or received), social security benefits, Medicaid “denial” letter for children under 19 years old, bank statement and the completed Sliding Fee application. If you have questions on what is needed for your application, ask a patient service representative or case manager at Katy Trail Community Health.
• A Medicaid “denial” letter is required from the Division of Family Services (DFS) office for all families with children under the age of 19 years.
• If your household income or family size changes in any way (goes either up or down) within the year, it is your responsibility to notify us.
• You must pay your minimum amount/co-pay due when you check in for your appointment.
• If you have insurance, KTCH will file your claim. If you have a co-pay with your insurance, you are responsible to pay that co-pay amount at the time of your service. Once the insurance has responded and insurance payment/adjustments have been posted, the Sliding Fee Discount will be applied to the patient due balance. If the insurance company sends you a payment or a notice that your claim was denied, you need to bring or mail a copy of the Explanation of Benefits to the clinic.
• We can only apply Sliding Fee Discounts to services given by providers of Katy Trail Community Health. We cannot discount charges from hospitals, ambulance services, or physicians outside of Katy Trail Community Health to whom you have been referred. Lab tests ordered by outside physicians will not be discounted. Hospital procedures will not be discounted. DOT Physicals are not discounted.
Sliding Fee Paperwork (English) (Spanish)
• Any questions? Just call or come into our office and ask staff about the Sliding Fee Program.