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Tulip Tree Family Health Care
123 N. McCreary Street
Ft. Branch, IN 47648

Payment Options

Who is eligible for the Sliding Fee Discount Program?

Anyone who does not currently have health and/or dental insurance or anyone whose insurance leaves the patient responsible for deductibles and copays  is eligible to apply for the Sliding Fee Discount Program.  Nominal Fees and Discounts for uninsured and insured individuals are based on household income and are unique to each household situation. 

Sliding Fees are offered to everyone with household incomes below 200% of the Federal Poverty Level.  A Nominal Visit Fee is offered to patients whose household income in below 100% of the Federal Poverty Level.  

The best and most accurate way to determine what your individual sliding scale fees would be is to call the office and schedule an Intake Appointment.  At an Intake Appointment, you will meet with an Intake Coordinator to calculate your discount and take care of new patient paperwork.  

I want to sign up for a Sliding Fee Discount Plan, what do I need to bring to my Intake Appointment?

You will need to bring basic income information for each person living in your household.  You will also need a picture ID for each adult who wants to be a patient.

For the complete list of documents to bring, Income Verification Documents

If there are items on the list that you do not have, it is okay - still come to the Intake Appointment and talk about your individual situation with your Intake Coordinator.

How soon can I be seen for treatment?  Will I be seen by the Dentist or Nurse Practitioner or Physician the same day as my Intake Appointment?

As soon as your paperwork has been completed and discount has been calculated, you will be able to be seen at the first available appointment - it may even be the same day. 

I don't really feel comfortable providing my income information, can I still get a discount?

If you do provide your household income information, it becomes part of your confidential record and we are extremely respectful of that information.  If you still decide you are not comfortable, you may benefit from our slightly reduced self pay rates for patients who pay for their care before or on the day of your visit.  Call the office for more information on this option. 

I don't have any income at all, so I won't have to pay anything, right?

Unfortunately, we are not a free medical or dental clinic.  However, most people who complete their intake appointment are eligibile for a significant discount. We also never turn away a patient who has an emergent medical need to be seen.  We offer VERY affordable payment arrangements tailored to your individual situation. Patients with household incomes below 100% of Federal Poverty Level are given special consideration. The best, and really the only way to fully understand our program is to complete an Intake Appointment.  Call the office today to schedule yours! 

I have another question that you don't have listed here...

Please visit the Contact Us page and send us your question or give us a call.  We'll be happy to send the answer directly to you and post more Frequently Asked Questions on this page for others with the same questions.

Click here to see a copy of our current Sliding Fee Schedule and household income tiers.