Sliding Fee Programs

 Quality health care for people who lack adequate insurance and have limited income. Canyonlands Healthcare offers a sliding fee program designed to make quality health care available to people who lack adequate insurance and have limited income. Qualifying members of the program have access to all the quality health care services at Canyonlands Healthcare locations at a reduced rate. Based on individual financial circumstances, the program allows members to pay variable rates from a minimum of $5.00, up to 75% of the office visit charges.

FINANCIAL SERVICES
FAMILY PLANNING
DENTAL CARE

Healthcare offered on a sliding scale fee basis at Canyonlands

AHCCCS Enrollment

Our financial counselors can help people with limited income to enroll in AHCCCS over the internet. This provides faster processing and shorter wait times. There is no separate interview with an AHCCCS or DES caseworker needed. Contact a Patient Representative

Arizona Health Care Cost Containment

Sliding Fee Requirements

There is no charge to apply for the sliding fee program. However, it is available only to those who meet the eligibility requirements. We recommend all patients who meet the requirements apply for the program, regardless of current insurance coverage, as they may still qualify for discounts on the balance due after insurance. If you want more information about the sliding fee program, please ask to see our Patient Services Representatives at any location. To qualify, an application must be completed and Proof of Income (most recent tax return, check stubs, Affirmation of Income, etc.) must be provided for verification.

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FINANCIAL ASSISTANCE

The Sliding Fee Discount Program provides quality health care to those who lack adequate insurance and have limited income.

Office visits, dental services, nurse visits, prescriptions, immunizations, circumcisions, prenatal and delivery care, Behavioral Health and some laboratory services Services vary by location.

Discounts vary and your cost could be as minimal as $5 per visit.

Contact one of our friendly Patient Service Representative for more information about the Sliding Fee Discount Program.

  • Sliding Fee Application
  • Driver’s License
  • Photo ID issued by federal, state or local government
  • Most current payroll check stubs for one month
  • Unemployment award letter
  • Social Security or SSI award letter
  • Bank Statement with direct deposit
  • Self Employment — Profit and Loss Ledger
  • Last year’s tax return
  • Social Security Card
  • Birth Certificate
  • Proof of Residency

Dental Sliding Fee Discounts Programs

Dental Sliding Fee Discounts will range from 25-45%. Your cost could be as minimal as $10. Dental Sliding Fee Discount includes:

  • Dental exams
  • Cleaning X-rays
  • Filling
  • Sealants
  • Extraction
  • Crowns
  • Bridges
  • Dentures

* Dental services available at Lake Powell Medical , Beaver Dam, Chilchinbeto and Safford Clinics

Medical Sliding Fee Discounts Programs

Medical and OB Sliding fee scale discounts include:

  • Office visits
  • In-house labs
  • Prescriptions
  • Vaccines for Children
  • Circumcision Procedure
  • Vaginal Delivery
  • Cesarean Delivery
  • Prenatal Care
  • Reduced rate on in-house labs

Financial Assistance at Canyonlands Healthcare

Sliding Fee Rate Structure

For rates, open the PDFs below, find your family size on the left, then find your household income on the right, follow the shaded column down to find the percentage you are required to pay.

REQUEST TO MEET WITH A FINANCIAL REPRESENTATIVE
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