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Payment Options/Sliding Scale

Help paying medical expenses

At Valley Health Partners (VHP), we care for all people regardless of ability to pay. We never want you to ignore your health care needs because you can’t afford to pay medical expenses. Your health care is our priority. We will help you qualify for an appropriate program based on the Sliding Fee Scale.

Options if You Are Uninsured or Underinsured

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

Visit pennie.com, a website operated by the state government that allows you to shop for health insurance. If you’re eligible, Pennie will link you to financial assistance to lower your monthly health insurance payment and out-of-pocket expenses. VHP offers Pennie-certified assisters who can help you explore your options. To meet with a Pennie-certified assister from VHP, call 610-969-4200.

Complete VHP’s Sliding Fee Scale application for financial assistance. It’s also available in Spanish. If you qualify, you will be charged a nominal fee based on where you fall on the Sliding Fee Scale. Once approved, Sliding Fee covers all services provided within VHP sites.

2022 Sliding Fee Scale

2022 Sliding Fee Scale
Income Percentage of Federal Poverty Level Income Percentage of Federal Poverty Level
Family Size 0% — 100% 101% — 125% 126% — 150% 151% — 200% 201% — 300% 301% plus
From To From To From To From To From To More than
Income Code A Income Code B Income Code C Income Code D Income Code E Income Code F
1 $0 $13,590 $13,591 $16,988 $16,989 $20,385 $20,386 $27,180 $27,181 $40,770 $40,771
2 $0 $18,310 $18,311 $22,888 $22,889 $27,465 $27,466 $36,620 $36,621 $54,930 $54,931
3 $0 $23,030 $20,031 $28,788 $28,789 $34,545 $34,546 $46,060 $46,061 $69,090 $69,091
4 $0 $27,750 $27,751 $34,688 $34,689 $41,625 $41,626 $55,500 $55,501 $83,250 $83,251
5 $0 $32,470 $32,471 $40,588 $40,589 $48,705 $48,706 $64,940 $64,941 $97,410 $97,411
6 $0 $37,190 $37,191 $46,488 $46,489 $55,785 $55,786 $74,380 $74,381 $111,570 $111,571
7 $0 $41,910 $41,911 $52,388 $52,389 $62,865 $62,866 $83,820 $83,821 $125,730 $125,731
8 $0 $46,630 $46,631 $58,288 $58,289 $69,945 $69,946 $93,260 $93,261 $139,890 $139,891
9 $0 $50,900 $50,901 $63,625 $63,626 $76,350 $76,351 $101,800 $101,801 $152,700 $152,701
10 $0 $55,170 $55,171 $68,963 $68,964 $82,755 $82,756 $110,340 $110,341 $165,510 $165,511
11 $0 $59,440 $59,441 $74,300 $74,301 $89,160 $89,161 $118,880 $118,881 $178,320 $178,321
12 $0 $63,710 $63,711 $79,638 $79,639 $95,565 $95,566 $127,420 $127,421 $191,130 $191,131
Nominal Medical Charge $5 $10 $15 $20 100% 100%
Nominal Dental Charge $10 $15 $20 $25 100% 100%
Nominal Vision Charge $10 $15 $20 $25 100% 100%
For families/households with more than 12 persons, add $4,270 for each additional person.

 

Participating Clinics

All VHP clinics offer financial assistance through the Sliding Fee Scale:

  • VHP Centro de Salud
  • VHP Center for Women’s Medicine
  • VHP Children’s Clinic
  • VHP Children’s Clinic at Sheridan
  • VHP Chiropractic Medicine
  • VHP Community Dental Smiles
  • VHP Community Vision Center
  • VHP Family Health Center
  • VHP Lehigh Valley Physicians Practice Primary Care
  • VHP Mark J. Young Community Health and Wellness Center
  • VHP Street Medicine Program

For any additional information for a program you may qualify for and/or information on the Sliding Fee Scale, please contact your provider’s office.

Good Faith Estimates

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, Valley Health Partners Community Health Center (henceforth, VHPCHC) providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs such as medical tests, prescription drugs, equipment and hospital fees.
  • Make sure your VHPCHC provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your VHPCHC provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 610-969-4200 for Valley Health Partners’ Regionalized Call Center.

Participating Health Insurance Providers

Please note this is a listing of primary payers that Valley Health Partners Community Health Center currently accepts. It is not an all-inclusive list. If you have any questions regarding coverage, please contact your insurance company prior to receiving non-emergent services. (Dental service plans are not shown.) You can also reach us with questions at 610-969-4200.

  • AblePay Health
  • Aetna
  • Aetna Medicare Advantage
  • Aetna Signature Administrators
  • AmeriHealth Administrators
  • AmeriHealth Administrators Valley Preferred
  • AmeriHealth Caritas Medicaid
  • AmeriHealth PA NJ
  • AmeriHealth VIP Medicare Advantage
  • BCBS Federal Employee Program
  • Black Lung
  • BlueCard Medicare Advantage
  • BlueCard Out of State
  • Capital Blue Cross
  • Capital Blue Cross Medicare Advantage
  • CHAMPVA
  • Cigna
  • Geisinger
  • Geisinger Medicare Advantage
  • Highmark Blue Shield
  • Highmark Blue Shield Medicare Advantage
  • Highmark Wholecare Gateway Medicaid
  • Highmark Wholecare Gateway Medicare Advantage
  • Horizon BCBS NJ
  • Independence Administrators
  • MagnaCare
  • Medicare
  • Meritain/WellNet
  • NALC Health Benefit Plans
  • Network by Aetna
  • NY SHIP
  • Oxford
  • PA Allwell Medicare Advantage
  • PA Health and Wellness
  • PA Health and Wellness Medicaid
  • PA Medicaid
  • Populytics
  • Railroad Retirement
  • State Renal Program
  • Todays Options - American Progressive
  • UMR
  • UnitedHealthcare
  • UnitedHealthcare Medicare Advantage
  • UPMC Commercial
  • UPMC for Life Medicare Advantage
  • UPMC Medicaid
  • Valley Preferred Network
  • Valley Preferred PO BOX 1830