KVHC Sliding Fee Discount Program

Sliding Fee Discount Program Enrollment Assistance

Preventive care like regular checkups, vaccines and screenings are available when you enroll in the Sliding Fee Discount Program. Enrollment for the Sliding Fee Discount Program is available year round and our Certified Enrollment specialists can help you enroll and understand these benefits every step of the way.

Call 207-538-3700 ext. 325 to reach a Certfied Enrollment Specialist

As a Federally Qualified Health Center (FQHC), Katahdin Valley Health Center (KVHC) provides a sliding fee discount for all services to patients who meet the eligibility guidelines. Sliding fee discounts are determined according to household size and yearly income, regardless of health insurance status. This program allows patients to pay a set co-pay of $10, $20, $35, $45, or $50 per medical visit or a certain percentage on their bill at our dental offices if they qualify.

  • We Can Help! You may be eligible for a discounted cost on our services, EVEN IF YOU HAVE INSURANCE! The sliding fee discount applies to all our services, including medical, dental, optometry, and pharmaceutical.
  • We promise to understand. We recognize that not all fee-for-service balances are due to a patient’s unwillingness to pay, as there is often an inability. This practice services all patients regardless of ability to pay. Even if you do not meet federal poverty guidelines or qualify for KVHC’s sliding fee Program, we may be able to help if you can demonstrate a financial hardship.
  • KVHC complies with Federal civil rights laws and does not discriminate based on race, color, national origin, age or disability, or genetics and, where applicable, sex, marital status, parental status, religious creed, political beliefs, veteran status, and sexual orientation.
For more information or to apply, you can also ask the front desk at your next visit or call our Patient Assistance Department at 1-866-366-5842 ext. 325

Apply for the Sliding Fee Discount Program

Please fill out either the application form for our Sliding Fee Discount Program, or the Refusal Form if you feel you will not be eligible for the Sliding Fee or do not wish to take advantage of the discount.

Sliding Fee Discount Application

OR

Sliding Fee Discount Refusal Form

Please upload your financial documents to support your application here:
Sliding Fee Document Upload Form

Sliding Fee Document Upload Form

Use this form to upload the necessary financial documents to support your Sliding Fee Discount Program Application. Be sure to enter your name and date of birth accurately so that we can match your documents to your application. Thank you!
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Your Name
Click or drag files to this area to upload. You can upload up to 5 files.
Please note: only .pdf, .jpg, and .png file types are supported.

KVHC CARES Feedback Form

Let us know what you think! Please tell us about your recent visit to KVHC. 

Please do not ask health care questions on this form. If you have an emergency, please call 911. 

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I am satisfied with my care at KVHC:
If you would like to be contacted by a KVHC representative about your experience today, please leave your name and e-mail address below.

Question of the Month November 2024

Please answer the question(s) below. You may then enter your contact information for a chance to WIN a $25 food gift certificate!
(All participants must be 18 years or older, and must reside in Aroostook, Penobscot, or Piscataquis County to be eligible for the gift certificate drawing.)
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Have you cancelled an appointment with KVHC in the last six months?
Please enter your contact information below to be entered into our giveaway.

KVHC CARES Feedback Form

This form is for feedback only, please do not ask medical questions.
If you have a medical emergency, please call 911.
Please enable JavaScript in your browser to complete this form.
I am satisfied with my care at KVHC:
If you would like to be contacted by a KVHC representative about your experience today, please leave your name and e-mail address below.