• Sliding Fee Scale

The Primary Health Network accepts all patients, regardless of their insurance status or ability to pay. We are a Federally Qualified Health Center (FQHC), which means we can offer a wide variety of services through the Sliding Fee Scale.

We offer the Sliding Fee Scale to all income-eligible uninsured or underinsured patients, based on annual household income, for most services. Income guidelines and acceptable verification for the Sliding Fee Scale are listed below.

Your physician's office should be able to answer any questions you have, but you can always feel free to contact our Billing Department at 1.724.342.5313 or Contact Us.

How do I qualify?

To qualify for the Sliding Fee Scale, you MUST show proof of gross annual income for all immediate family members living in your household. Gross income is ALL income from ALL sources before taxes. Applicants should provide a copy of any of the accepted income verification materials listed below.

Acceptable Income Verification

  • Recent Federal Tax Return
  • IRS Form W-2 or 1099
  • Two (2) Current Pay Stubs

How do I get started?

To begin the Sliding Fee Scale application process, simply download the appropriate form below, complete it, and take it with you to your next scheduled visit.

General ApplicationDental Application

As an FQHC, PHN accepts all Medicare and Medicaid insurance plans, as well as most major insurances. The Sliding Fee Scale is in place to meet the needs of the uninsured or underinsured, providing reduced costs on most services for those who qualify.

No one will be denied access to services at Primary Health Network, as services are offered regardless of insurance status or ability to pay.


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