At Valley Health Partners (VHP), we care for all people regardless of ability to pay. We never want you to ignore your health care needs because you can’t afford to pay medical expenses. Your health care is our priority. We will help you qualify for an appropriate program based on the Sliding Fee Scale.
Options if You Are Uninsured or Underinsured
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
Visit pennie.com, a website operated by the state government that allows you to shop for health insurance. If you’re eligible, Pennie will link you to financial assistance to lower your monthly health insurance payment and out-of-pocket expenses. VHP offers Pennie-certified assisters who can help you explore your options. To meet with a Pennie-certified assister from VHP, call 610-969-4200.
Complete VHP’s Sliding Fee Scale application for financial assistance. It’s also available in Spanish. If you qualify, you will be charged a nominal fee based on where you fall on the Sliding Fee Scale. Once approved, Sliding Fee covers all services provided within VHP sites.
2024 Sliding Fee Scale
| Income Percentage of Federal Poverty Level | Income Percentage of Federal Poverty Level | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Family Size | 0% — 100% | 101% — 125% | 126% — 150% | 151% — 200% | 201% — 300% | 301% plus | |||||||||
| From | To | From | To | From | To | From | To | From | To | More than | |||||
| Income Code A | Income Code B | Income Code C | Income Code D | Income Code E | Income Code F | ||||||||||
| 1 | $0 | $15,060 | $15,061 | $18,825 | $18,826 | $22,590 | $22,591 | $30,120 | $30,121 | $45,180 | $45,181 | ||||
| 2 | $0 | $20,440 | $20,441 | $25,550 | $25,551 | $30,660 | $30,661 | $40,880 | $40,881 | $61,320 | $61,321 | ||||
| 3 | $0 | $25,820 | $25,821 | $32,275 | $32,276 | $38,730 | $38,731 | $51,640 | $51,641 | $77,460 | $77,461 | ||||
| 4 | $0 | $31,200 | $31,201 | $39,000 | $39,001 | $46,800 | $46,801 | $62,400 | $62,401 | $93,600 | $93,601 | ||||
| 5 | $0 | $36,580 | $36,581 | $45,725 | $45,726 | $54,870 | $54,871 | $73,160 | $73,161 | $109,740 | $109,741 | ||||
| 6 | $0 | $41,960 | $41,961 | $52,450 | $52,451 | $62,940 | $62,941 | $83,920 | $83,921 | $125,880 | $125,881 | ||||
| 7 | $0 | $47,340 | $47,341 | $59,175 | $59,176 | $71,010 | $71,011 | $94,680 | $94,681 | $142,020 | $142,021 | ||||
| 8 | $0 | $52,720 | $52,721 | $65,900 | $65,901 | $79,080 | $79,081 | $105,440 | $105,441 | $158,160 | $158,161 | ||||
| 9 | $0 | $58,100 | $58,101 | $72,625 | $72,626 | $87,150 | $87,151 | $116,200 | $116,201 | $174,300 | $174,301 | ||||
| 10 | $0 | $63,480 | $63,481 | $79,350 | $79,351 | $95,220 | $95,221 | $126,960 | $126,961 | $190,440 | $190,441 | ||||
| 11 | $0 | $68,860 | $68,861 | $86,075 | $86,076 | $103,290 | $103,291 | $137,720 | $137,721 | $206,580 | $206,581 | ||||
| 12 | $0 | $74,240 | $74,241 | $92,800 | $92,801 | $111,360 | $111,361 | $148,480 | $148,481 | $222,720 | $222,721 | ||||
| Nominal Medical Charge | $5 | $10 | $15 | $20 | 100% | 100% | |||||||||
| Nominal Dental Charge | $20 | $25 | $30 | $35 | 100% | 100% | |||||||||
| Dental Preventative Care | $20 | $25 | $30 | $35 | 100% | 100% | |||||||||
| Dental Non-Preventative Care | Nominal Fee + Charges | Fee + Charges | Fee + Charges | Fee + Charges | 100% | 100% | |||||||||
| Nominal Vision Charge | $20 | $25 | $30 | $35 | 100% | 100% | |||||||||
| Vision Injections | $20 + cost of medications | $25 + cost of medications | $30 + cost of medications | $35 + cost of medications | 100% | 100% | |||||||||
| Optical | $20 + cost of frames, glasses and contact lenses | $25 + cost of frames, glasses and contact lenses | $30 + cost of frames, glasses and contact lenses | $35 + cost of frames, glasses and contact lenses | 100% | 100% | |||||||||
| For families/households with more than 12 persons, add $5,380 for each additional person. | |||||||||||||||
Participating Clinics
All VHP clinics offer financial assistance through the Sliding Fee Scale:
- VHP Centro de Salud
- VHP Center for Women’s Medicine
- VHP Children’s Clinic
- VHP Children’s Clinic at Hays
- VHP Children’s Clinic at Sheridan
- VHP Chiropractic Medicine
- VHP Community Smiles
- VHP Community Vision Center
- VHP Family Health Center
- VHP Lehigh Valley Physicians Practice Primary Care
- VHP Mark J. Young Community Health and Wellness Center
- VHP Street Medicine Program
For any additional information for a program you may qualify for and/or information on the Sliding Fee Scale, please contact your provider’s office.
Good Faith Estimates
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, Valley Health Partners Community Health Center (henceforth, VHPCHC) providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs such as medical tests, prescription drugs, equipment and hospital fees.
- Make sure your VHPCHC provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your VHPCHC provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 610-969-4200 for Valley Health Partners’ Regionalized Call Center.
Participating Health Insurance Providers
Please note this is a listing of primary payers that Valley Health Partners Community Health Center currently accepts. It is not an all-inclusive list. If you have any questions regarding coverage, please contact your insurance company prior to receiving non-emergent services. (Dental service plans are not shown.) You can also reach us with questions at 610-969-4200.
- AblePay Health
- Aetna
- Aetna Chip
- Aetna Medicare Advantage
- Aetna Signature Administrators
- AmeriHealth Administrators
- AmeriHealth Administrators Valley Preferred
- Amerihealth Caritas Dental
- AmeriHealth Caritas Medicaid
- AmeriHealth PA NJ
- AmeriHealth VIP Medicare Advantage
- BCBS Federal Employee Program
- Black Lung
- BlueCard Medicare Advantage
- BlueCard Out of State
- Capital Blue Cross
- Capital Blue Cross Medicare Advantage
- CHAMPVA
- Cigna
- Delta Dental PPO
- Delta Dental Premiere
- Envolve Dental - PA Health & Wellness Community Health Choices
- Envolve Dental - Am Better
- Envolve Dental - UPMC for Kids
- Envolve Dental - UPMC for Life Medicare Advantage
- Envolve Dental - UPMC Community Health Choices
- Envolve Dental - UPMC for you
- Envolve Dental - Wellcare by all Care
- Geisinger Medicaid
- Geisinger CHIP
- Geisinger Medicare (Gold)
- Geisinger PPO
- Geisinger Student Health Plan
- Geisinger Exchange
- Geisinger Medicare Advantage
- Health Partners
- Highmark Blue Shield
- Highmark Blue Shield Medicare Advantage
- Highmark Wholecare Gateway Medicaid
- Highmark Wholecare Gateway Medicare Advantage
- Highmark Wholecare- Smilenet United Concordia
- Horizon BCBS NJ
- Independence Administrators
- MagnaCare
- Medicare
- Meritain/WellNet
- NALC Health Benefit Plans
- Network by Aetna
- NY SHIP
- Oxford
- PA Allwell Medicare Advantage
- PA CHIP
- PA Health and Wellness
- PA Health and Wellness Medicaid
- PA Medicaid
- Populytics
- Railroad Retirement
- State Renal Program
- Todays Options - American Progressive
- UHC Dental
- UMR
- United Concordia
- UnitedHealthcare
- UnitedHealthcare Medicare Advantage
- UPMC Commercial
- UPMC for Life Medicare Advantage
- UPMC Medicaid
- Valley Preferred Network
- Valley Preferred PO BOX 1830