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Family Size      Slide A(<=100%)    Slide B(101% - 125%)     Slide C(126% - 150%)     Slide D(151% - 175%)    Slide E(176% - 200%)     Above 200% FPL 


                             From - To                     From - To                            From - To                          From - To                         From - To
      1                   $0 - $15,060            $15,061 - $18,825            $18,826 - $22,590            $22,591 - $26,355           $26,356 - $30,120            $30,121+

      2                   $0 - $20,440            $20,441 - $25,550            $25,551 - $30,660            $30,661 - $35,770           $35,771 - $40,880            $40,881+
      3                   $0 - $25,820            $25,821 - $32,275            $32,276 - $38,730            $38,731 - $45,185           $45,186 - $51,640            $51,641+ 
      4                   $0 - $31,200            $31,201 - $39,000            $39,001 - $46,800            $46,801 - $54,600           $54,601 - $62,400            $62,401+        
      5                   $0 - $36,580            $36,581 - $45,725            $45,726 - $54,870            $54,871 - $64,015           $64,016 - $73,160            $73,161+ 
     6                    $0 - $41,960            $41,961 - $52,450            $52,451 - $62,940            $62,941 - $73,430           $73,431 - $83,920            $83,921+ 
      7                   $0 - $47,340            $47,341 - $59,175            $59,176 - $71,010            $71,011 - $82,845           $82,846 - $94,680            $94,681+
      8                   $0 - $52,720            $52,721 - $65,900            $65,901 - $79,080            $79,081 - $92,260           $92,261 - $105,440          $105,441+ 

FORMS & OTHER INFORMATION

BROAD TOP AREA MEDICAL CENTER, INC

2024 SLIDING FEE SCALE DISCOUNT PROGRAM-PATIENT EDUCATION & INTEREST FORM


FEDERAL POVERTY GUIDELINES 

Broad Top Area Medical Center Inc., (BTAMC) is a non-profit Federally Qualified Health Center, our mission is to provide access to affordable, high-quality healthcare without discrimination based on race, color, sex, disability, age, creed, or national origin.

 

Family and Medical Leave Act (FMLA)


The Family and Medical Leave Act (FMLA) of 1993 is a United States labor law requiring covered employers to provide employees with job-protected, unpaid leave for qualified medical and family reasons.

BTAMC will provide in-scope services to all patients, regardless of their insurance ability to pay. Every patient may apply for our Sliding Fee Scale Discount Program (SFS) to determine qualification. Patients may choose to decline the benefit program.


Eligibility for Sliding Fee Discounts  is based on the federal poverty level (FPL) income guidelines which are adjusted annually and operate in accordance with other federal program regulations.  All patients are encouraged to apply.  Uninsured and under-insured patients may qualify for the program based on their household size and their family's income. Sliding Fee Scale Discount Program applications are available at every BTAMC reception desk and on-line - visit  www.broadtopmedical.com



 Important discount program points are:

  • The Sliding Fee Scale provides significant discounts for BTAMC Medical and Dental services at every BTAMC locations
  • The Sliding Fee Scale is not an insurance program- it is a benefit offered al ALL patients
  • The Sliding Fee Scale benefit year is from March 1st to the last day of February
  • Your eligibility is based only on your household size and the gross income for your household
  • ​You may qualify for the program, even if you have third-party insurance coverage
  • You must apply for the program to determine eligibility for Sliding Fee Scale Discounts
  • You must provide documentation for proof of income to complete the application process and assessment process
  • You will qualify if your household income is below and/or up to 200% of the federal poverty level
  • You are encourage to re-apply anytime your household income or household size changes, such as when someone becomes  unemployed,  or you add or  lose a family member - even then the change is temporary
  • You must renew applications and submit proof of income annually for approved Sliding Fee Scale Discounts
  • Applications & questions can be submitted to the office in person, by mail or via secure Email to:

                                                               enrollment@broadtopmedical.com



 2024 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES AND THE DISTRICT OF COLUMBIA
  *For families/households with more than 8 persons, add $5,380 for each additional person.