rosa clark medical clinic seneca sc

Rosa Clark Sliding Fee Scale 2024

Persons in

House-hold

1

2

3

4

5

6

7

8

At or below 100%

FPL or below

0 to $15,060

0 to $20,440

0 to $25,820

0 to $31,200

0 to $36,580

0 to $41,960

0 to $47,340

0 to $52,720

At or 101% - 125%

FPL

 $15,061 to $18,826 

 $20,441 to $25,551

$25,821 to $32,276

$31,201 to $39,001

 $36,581 to $45,726

 $41,961 to $52,451

 $47,341 to $59,176 

 $52,721 to $65,901

At or 126% - 150%

FPL

$18,227 to $22,590

$25,552 to $30,660

$32,277 to $38,730

$39,002 to $46,800

$45,727 to $54,870

$52,452 to $62,940

$59,177 to $71,010

$65,902 to $79,080

At or 151% - 200%

of FPL

$22,591 to $30,120

$30,661 to $40,880

$38,731 to $51,640

$46,801 to $62,400

$54,871 to $73,160

$62,941 to $83,920

$71,011 to $94,680

$79,081 to $105,440

Above 200%

FPL

$30,120

$40,880

$51,640

$62,400

$73,160

$83,960

$94,680

$105,440

For families/households with more than 8 persons, add $5,140 for each additional person.

If household income is over 200% of the Federal Poverty Guidelines, no discount will be provided.

All Insurance Co-pays and all Charges to Self-Pay patients will apply unless the patient qualifies for the Sliding Fee Discounts

Sliding Fee Pay Plans

Plan 1

Plan 2

Plan 3

Plan 4

Primary Care & Mental/Behavioral Health Visits

 $0.00 

$2.00

$5.00

$10.00

Pharmacy

$0.00

$1.00

$2.00

$3.00