ACHS offers AFFORDABLE HEALTH CARE For the whole YOU and your entire family
ACHS accepts all patients, regardless of income, insurance status, or ability to pay. As a Federally Qualified Health Center (FQHC) we offer a wide variety of services with a Sliding Fee Scale (SFS) which reduces, or “slides” the fees for services we provide. Our SFS is offered to all income-eligible uninsured or underinsured patients. Eligibility is based on family income and size and is available for a variety of health care services including Medical office visits, vision programs, lab fees, vaccinations and prescriptions. In addition to our own in-house services, as an ACHS patient, you will also have access to discounts at our service partners such as Littleton Regional Healthcare, Cottage Hospital, and area pharmacies.
Frequently asked questions
Who is Eligible?
Eligibility is based on your household size and income. Anyone in the household over the age of 19 can be eligible to receive SFS.
How do I qualify?
To find out if you qualify, you’ll need to fill out an application and provide proof of income. Income forms can be found at reception at any ACHS site, by speaking to an ACHS team member at 603.444.2464, or by clicking here.
What if I have insurance?
Even if you have insurance, you may still qualify for SFS. We’ll process your insurance claim first, and then any remaining balance may be adjusted based on the sliding fee guide.
Do I have to provide financial information?
Yes. To determine your eligibility for SFS, and what you’ll pay, we’ll need proof of income and your household size. Proof of income can be determined easily with Paycheck stubs, current year tax returns for self-employed individuals, and other items. You can fill out the form here: SFS patient application_10.21
How do you determine household size?
Anyone living in a household, where legal financial responsibility for support exists, is considered a household member. Non-related persons do not count as household members unless there is a legal requirement for support.
How often do I need to apply?
You’ll need to apply annually or if there is a change in household or income status.
How much will I have to pay?
You will be expected to pay for the services you’ll receive. That amount will vary based on where you fall on the SFS schedule. You’ll pay at least $15 for Office Visits and Vision Care and $35 for a Dental visit. This amount is due at the time of your visit. The SFS schedule can be viewed in our brochure below or by clicking here
How do I get started?
Get started today, by speaking to an ACHS team member at 603.444.2464!
Or fill out a form today!
ACHS_Sliding Fee Brochure (PDF)
ACHS Sliding fee schedule (PDF)
