Financial Assistance Program

Financial assistance is available for the following programs:

  • Medication Assistance Program (uninsured) Call if you have insurance.
  • Respiratory Equipment Program
  • Air Conditioner Program

*Appointment is necessary, bring proof of income (1040 or latest 2 pay stubs).

Federal Poverty Guidelines
(RED indicates income level to qualify for services)

FAMILY SIZE

1

2

3

4

5

6

7

8

200%

$24,120

$32,486

$40,840

$49,200

$57,560

$65,920

$74,280

$82,640

Out-of-County Services Fee Schedule

Chest X-ray

Physician Visit

INH/B6

PFT

Flu Vaccine

Pneumonia Vaccine

Sputum C&S

Sputum AFB

Screening Fees

Cholesterol

Hemoglobin A1c

TB Skin Test re-give

$50.00

$65.00

$6.00

$12.00

$20.00

$75.00

$25.00

$40.00

 

$25.00

$20.00

$520.00