SFDP

Sliding Fee Discount Program

Fountain Health Care LLC is committed to providing high-quality behavioral health services to all individuals, regardless of their ability to pay. We offer a Sliding Fee Discount Program (SFDP) for eligible patients based on household income and family size, in accordance with the most current Federal Poverty Guidelines (FPG).

✅ Non-Discrimination Statement

Fountain Health Care LLC does NOT deny services to any individual based on:

  • Inability to pay
  • Insurance status
  • Enrolment in Medicare, Medicaid, or CHIP

💲 Sliding Fee Discount Eligibility

Patients may qualify for discounted services based on their income level:

Income Level (FPL)Discount Applied
0% – 100%100% discount (Nominal fee only)
101% – 150%75% discount
151% – 200%50% discount
Above 200%No discount (Full fee applies)

💳 Nominal Fees (For Patients at or Below 100% FPL)

Patients who qualify at or below 100% of the Federal Poverty Level will pay a nominal fee, which may include:

  • Initial Assessment: $0 – $20
  • Individual/Group Therapy: $5 – $30 per session
  • Medication Management: $10 – $30 per visit

Nominal fees are designed to be affordable and will not be a barrier to receiving care. Fees may be reduced or waived based on individual financial hardship.

 

Please complete the SFD form below.

Income Sources: