No insurance or not enough insurance? Maybe we can help.
Access Assistance
Our patient assistance program gives you a discount on our services, including medications from our pharmacies*!
Your exact discount is calculated based on your household size, household income, and the Federal Poverty Level (FPL). We can provide help for those with a household income at or below 200% of the FPL.
Once your application is approved, your discount can be used at any Access location, including our in-house pharmacies and dental clinic.
No income?
You could still qualify. See the Sliding Fee Application Packet for details.
*Conditions apply.
Sliding Fee Scale
Household Size | Slide 1 (100% FPL) | Slide 2 (101% to 125%) | Slide 3 (126% to 175%) | Slide 4 (176% to 200%) |
---|---|---|---|---|
1 | $15,060 | $15,061 - $18,825 | $18,826 - $26,355 | $26,356 - $30,120 |
2 | $20,440 | $20,441 - $25,550 | $25,551 - $35,770 | $35,771 - $40,880 |
3 | $25,820 | $25,821 - $32,275 | $32,276 - $45,185 | $45,186 - $51,640 |
4 | $31,200 | $31,201 - $39,000 | $39,001 - $54,600 | $54,601 - $62,400 |
5 | $36,580 | $36,581 - $45,725 | $45,726 - $64,015 | $64,016 - $73,160 |
6 | $41,960 | $41,961 - $52,450 | $52,451 - $73,430 | $73,431 - $83,920 |
7 | $47,340 | $47,341 - $59,175 | $59,176 - $82,845 | $82,846 - $94,680 |
8 | $52,720 | $52,721 - $65,900 | $65,901 - $92,260 | $92,261 - $105,440 |
Calculate Your Sliding Scale
Input your household size and income.
Sliding Scale Fees
These fees do not apply until you have been approved.
Pharmacy Discount: If you qualify for any sliding fee level, you’re automatically approved for Access Care—our pharmacy discount program. With Access Care, you get the lowest price possible. If you have prescription insurance and Access Care, you’ll pay either your co-pay amount or the Access Care price, whichever is lower.
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The following fees are for services rendered at an Access clinic. Rates and percentages are subject to change. All-inclusive rate does not cover ancillary items (supplies, materials, etc.), 340B prescriptions, elective services*, lab fees**, or transportation. Rates revised: 09-01-24
MEDICAL SERVICES
$35 all-inclusiveMENTAL HEALTH SERVICES
$35 all-inclusiveDENTAL SERVICES
Preventative (office visit): $40Additional Dental Services:
Basic*
Fillings (amalgam): $40
Fillings (composite): $40
Extractions: $40Major*
Dentures: $950
Crowns: $580
Endodontics**: $250 -
The following fees are for services rendered at an Access clinic. Rates and percentages are subject to change. All-inclusive rate does not cover ancillary items (supplies, materials, etc.), 340B prescriptions, elective services*, lab fees**, or transportation. Rates revised: 09-01-24
MEDICAL SERVICES
$40 all-inclusiveMENTAL HEALTH SERVICES
$40 all-inclusiveDENTAL SERVICES
Preventative (office visit): $45Additional Dental Services:
Basic*
Fillings (amalgam): $45
Fillings (composite): $45
Extractions: $45Major*
Dentures: $1,100
Crowns: $675
Endodontics**: $280 -
The following fees are for services rendered at an Access clinic. Rates and percentages are subject to change. All-inclusive rate does not cover ancillary items (supplies, materials, etc.), 340B prescriptions, elective services*, lab fees**, or transportation. Rates revised: 09-01-24
MEDICAL SERVICES
$50 all-inclusiveMENTAL HEALTH SERVICES
$50 all-inclusiveDENTAL SERVICES
Preventative (office visit): $55Additional Dental Services:
Basic*
Fillings (amalgam): $55
Fillings (composite): $55
Extractions: $55Major*
Dentures: $1,220
Crowns: $751
Endodontics**: $310 -
The following fees are for services rendered at an Access clinic. Rates and percentages are subject to change. All-inclusive rate does not cover ancillary items (supplies, materials, etc.), 340B prescriptions, elective services*, lab fees**, or transportation. Rates revised: 09-01-24
MEDICAL SERVICES
$55 all-inclusiveMENTAL HEALTH SERVICES
$55 all-inclusiveDENTAL SERVICES
Preventative (office visit): $60Additional Dental Services:
Basic*
Fillings (amalgam): $60
Fillings (composite): $60
Extractions: $60Major*
Dentures: $1,310
Crowns: $801
Endodontics**: $340
Apply In Two Simple Steps
Step 1: Get an application
Download and print the application.
Mail: Call any of our locations to request a mailed copy
Stop by any clinic and pick one up.
Step 2: Submit it
Photos of the application will not be accepted.
Scan & email to assistance@accessfhs.com
Documents must be in pdf format
Free scanning apps like Genius Scan, Adobe Scan, CamScanner, and others are available in the App Store and Google Play Store. These apps will scan, crop, and convert your application into a pdf.
Be sure to include all required documentation. Failing to include all documents may result in approval delay or application denial.
Drop it off at any of our locations.
Bring it with you to your next appointment and give to the receptionist.