About This Clinic
This is a SLIDING SCALE clinic. The costs for clinic services are based on either your income or they offer type of financial assistance. Contact the clinic directly to discuss prices for individual services which vary. Sliding Scale does not necessarily mean free.
Innis Community Health Center Inc. offers a sliding fee discount to all uninsured and underinsured individuals who qualify based on an approved sliding fee scale. This sliding fee scale provides a variable cost on certain service to individual that qualify.
In order to apply for a sliding fee discount, the patient must provide household size and proof of total household income. Gross annual income is all income from all sources before taxes. This is required at the time of the visit to qualify for sliding fee scale. The Statement of Income declaration is required to qualify. Once eligibility is established, the patient’s charges will be discounted down to a minimum fee. All minimum fees are due at the time of service. Proof of income must be updated annually.
All patients must submit proof of income each year in order to continue receiving discounted services.
Services Include:
- Preventive Cleanings For Adults & Children
- Dental Treatment
- Fillings
- Extractions
- Deep cleanings
- Sealant applications
- Flouride Treatments
- Restorative Services
- Denture Program
- Crowns
- Root Canals
- Diagnostic Services
Work Hour
M-F from 8:00am-4:30pm
2022 US Federal Poverty Guidelines
for the 48 contiguous states and the District of Columbia
| Persons in family / household | Poverty guideline |
|---|---|
| 1 | $13,590 |
| 2 | $18,310 |
| 3 | $23,030 |
| 4 | $27,750 |
| 5 | $32,470 |
| 6 | $37,190 |
| 7 | $41,910 |
| 8 | $46,630 |
| For families/households with more than 8 persons, add $5,430 for each additional person. | |