Uninsured? No problem. We strive to ensure no patient is denied care due to an inability to pay for our services. Our Sliding Fee Discount Program allows us to “slide” or reduce fees for eligible patients. We encourage you to set up an appointment with our eligibility team to assess whether you qualify for free or discounted services. Our eligibility specialists are highly trained to find programs and coverage options that will make healthcare more affordable.
Eligibility for the Sliding Fee Discount Program is determined by a patient’s household size and annual income. An application must be completed and proof of income is required. Discounts are applied based on federal poverty income guidelines, updated annually by the federal government. While fees for eligible patients are reduced, a nominal fee for services will be the patient’s responsibility. Payment is expected at the time of service.
Patients with insurance also may be eligible for discounts and are encouraged to apply.
Call us at 936.539.4004 to schedule an appointment with a Lone Star Family Health Center eligibility specialist today. You also can reach a member of our eligibility team via e-mail for questions about programs and eligibility.
Contact an Eligibility Specialist
Apply for Sliding Fee
Follow the steps to fill out the application.
- Click on the English or Spanish version of the application below.
- Fill out the application. Complete all applicable sections of the application. A signature is required at the end of the form.
- Click submit at the bottom of the application. NOTE: Allow at least 30 seconds for the form to be submitted. You should receive a message on the next screen confirming acceptance.
- Our financial assistants may ask for more information needed to complete your application.
- Eligibility for the Sliding Fee Discount Program is determined by a patient’s household size and annual income.
- An application must be completed and proof of income is required. A financial assistant will contact you for proof of income.
- Discounts are applied based on federal poverty income guidelines, updated annually by the federal government.
- While fees for eligible patients are reduced, a nominal fee for services will be the patient’s responsibility.
- Payment is expected at the time of service.
Call us at 936.539.4004 to schedule an appointment with a Lone Star Family Health Center financial assistant today. You also can reach a member of our eligibility team via email for questions about programs and eligibility.