Orcas
“We do not want patients in need to avoid seeking health care for financial reasons. Come talk to me, we'll find a way to make it work. Just a little effort from everyone makes great things possible. We perform billing services for all national or international insurance companies. No patient is ever discriminated against by OFHC for any reason: they simply receive the care they need.”
Contact Aaimee Johnson for more information: (360) 376-7778 or ajohnson@orcasfamilyhealthcenter.org
Emails sent through the OFHC website will also be routed directly to Aaimee Johnson.
SLIDING FEE SCALE
Sliding Fee Scale Eligibility Application
Proof of Income Verification: The following are types of proof that can be used for verification: Paycheck stubs (preferably three months, minimum of 1 month) ● Statement from employer as to proof of wages when stubs are not available ● Statement from unemployment income ● Statement from Social Security or Disability ● Annual W-2 wage statements from all sources ● Gross Income determination from IRS tax return form ● Bank account statements for self-employed
If proof of income is not available, an explanation for determining eligibility may be provided and approved by the clinic office manager at the time of the application.
|
Family |
$25.00 |
25% |
50% |
75% |
100% |
|
Size |
fee |
of fee |
of fee |
of fee |
of fee |
|
|
less than |
$10,210 |
$13579.29 |
$16233.90 |
over |
|
1 |
$10,210 |
$13579.29 |
$16233.90 |
$20419.99 |
$20,420 |
|
|
less than |
$13,690 |
$18207.70 |
$21767.10 |
over |
|
2 |
$13,690 |
$18207.69 |
$21767.10 |
$27379.99 |
$27,380 |
|
|
less than |
$17,170 |
$22836.09 |
$27300.30 |
over |
|
3 |
$17,170 |
$22836.09 |
$27300.30 |
$34339.99 |
$34,440 |
|
|
less than |
$20,650 |
$27464.49 |
$32833.50 |
over |
|
4 |
$20,650 |
$27464.49 |
$32833.50 |
$41299.99 |
$41,300 |
|
|
less than |
$24,130 |
$32092.89 |
$38366.70 |
over |
|
5 |
$24,130 |
$32092.89 |
$38366.70 |
$48259.99 |
$48,260 |
|
|
less than |
$27,610 |
$36421.29 |
$43,899.89 |
over |
|
6 |
$27,610 |
$36421.29 |
$43899.90 |
$55219.99 |
$55,220 |
add $3480 for each additional person
Insurance Help Links
The following information has been collected directly from the websites listed. Information does not represent programs that OFHC is directly involved in except for as a contracted provider of health services where applicable. It has been included as a resource for those who are seeking health insurance information. Theses links will be reviewed and updated as often as possible. A resource list has been included.
SHIBA HelpLine
Office of Insurance Commissioner
Call the 24-hour, toll-free referral hot line at: 1-800-562-6900
DSHS: Department of Social and Health Services
http://fortress.wa.gov/dshs/maa/CHIP/Howtoapply.html
-
“Kids are considered for free health insurance first (Medicaid and Non-citizen programs) Kids who don't qualify for free insurance are screened for low-cost health insurance (SCHIP) (premiums).”
-
“Applying is easy! You can apply on line and submit your application directly to DSHS. Or, you can print a copy of the application, complete and mail it to the address below. If you need assistance, call 1-877-543-7669. When your completed application is received, it will be screened for eligibility.”
MAIL TO:
Department of Social and Health Services
FOR HELP:
If you need help or have questions, please call
1-877-KIDS-NOW.
(1-877-543-7669)
Community Health Plan of Washington(Basic Health and others)
Access to Healthcare.
-
We believe everyone has a right to high-quality health care, so we help remove the barriers--financial, cultural, linguistic, geographic, and otherwise--that keep many people from getting medical attention.
Prospective and current members can call our customer service representatives at 206-521-8830 or toll free at 1-800-440-1561. Or e-mail customercare@chpw.org.
Mailing Address:
Community Health Plan
positive women's network
-
PWN offers and connects women to free or low-cost preventative healthcare services are sensitive to the diverse needs of women. -
PWN can connect uninsured and underinsured women to yearly health exams and mammograms in Island, San Juan, Skagit, Snohomish and Whatcom Counties. Check the Mobile Screening Events schedule.
Resources
CHPW http://www.chpw.org Copyright ©2003-2007 Community Health Plan 29 May, 2007
DSHS http://fortress.wa.gov/dshs/maa Modified: 29 May, 2007
SHIBA www.insurance.wa.gov 29 May, 2007
PWN http://pwnetwork.org/ Copyright© 1999-2007