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NOTICE OF DATA BREACH: CHC/UNITEDHEALTH GROUP (PLEASE READ!)
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Payment Options

Medicaid, Medicare, and most other insurances are accepted at our health centers. A sliding payment scale is utilized for those who are uninsured. No one is turned away for inability to pay.

No Insurance?

If you do not have a medical card or insurance, the following information is needed to determine your eligibility for support programs and/or sliding fee scales. Information to determine how the household is supported is important.

  • Birth certificate or passport
  • Photo identification (driver’s license, state ID, school ID)
  • Medicaid, Medicare, or commercial insurance card (if applicable.) Medicaid denial letters for anyone in the household
  • Proof of current residence (e.g., utility bill, bank statement, phone bill)
  • Last year’s federal tax return (1040 form) or waiver of filing (From 4508-T)
  • Paycheck stubs for most recent 30 days (if employed.) If you (or someone in your household) works but do not have pay stubs, provide a signed letter from your employer on the employer’s letterhead (with contact name and phone number) and the amount you are paid.
  • Proof of any other sources of income, unemployment, Social Security for the household