Equitable Medical Care for Everyone in Indianapolis

Damien Center is committed to providing the highest quality medical and behavioral health to all patients, regardless of their ability to pay.

Health Care Sliding Fee

To apply for the Health Center’s Sliding Fee Scale, you must have a household income at or below 200% of the Federal Poverty Level (FPL).

Apply for Financial Assistance

Ryan White Sliding Fee

To apply for the Ryan White Sliding Fee Scale, you must have a household income at or below 500% of the FPL. You will be screened for Ryan White eligibility before your first appointment and enrolled if applicable. You are required to enroll and recertify every 6 months. There is no separate application and your enrollment in the Ryan White Sliding Fee Scale is automatic with your bi-annual recertification.

What is a sliding fee scale?

A sliding fee scale is a discount on your healthcare offered if your income and family size meet a certain threshold.

Why are there two sliding fee scales and what are the differences?

The Health Center Sliding Fee Scale offers discounts to any patient with an FPL of under 200%.

The Ryan White Sliding Fee Scale offers discounts to patients that have active Ryan White enrollment and an FPL under 500%.

For people with active Ryan White enrollment, the Ryan White Program provides additional benefits to ensure that you are not overwhelmed by healthcare costs. We will continue to bill your insurance, but your deductible, co-insurance, and co-pay will be discounted to the nominal fee according to your placement on Ryan White Sliding Fee Scale.

What is the Ryan White maximum charge?

The federal government sets limits on what you will have to pay toward your total healthcare costs each year when you visit health networks that accept Ryan White grant funding. These annual limits supersede your cost-sharing agreement with your insurance company. Once you reach your annual maximum, we will continue to bill your insurance, but your patient responsibility will be discounted to $0 for eligible services until January 1st of the following year.

Eligible services that we can count toward your annual maximum include medical appointments, labs, nurse visits, behavioral health visits, co-pays, hospital visits, and prescriptions. If you have healthcare bills from outside health networks, other agencies, or pharmacies, you can submit them to count toward your annual maximum. We are not able to pay those healthcare bills, but your healthcare services with us will be discounted.

If I already have insurance, should I still apply?

Yes, because if you qualify, you may pay less than your insurance cost-sharing for your services. We will continue to bill your insurance, but your deductible, co-insurance, and co-pay will be discounted down to your approved rate.

How much will I have to pay?

The amount you pay will depend on the service you receive and your FPL. Please see the Sliding Fee Scale table to determine your amount due.

What documentation is required to apply?
  • Completed Application (see link above)
  • Valid Photo ID
  • Proof of Address
  • Proof of Household Income
What criteria are used to determine eligibility?

We base eligibility on the Federal Poverty Level (FPL). This percentage is calculated based on two (2) factors:

  • Gross Income – this is the amount of money you make each year before taxes. This includes salary, unemployment benefits, disability or social security benefits, investment income, or other sources of income that support your household.
  • Family Size – this includes legal children, a civil union partner or married spouse, and legal dependents that are living together.
What documents are needed for proof of income?

We will accept the following supporting documentation for proof of income:

  • Most recent Federal Tax Return
  • 4506T - requests for transcript of tax return, verification of non-filing
  • 30 days of pay stubs
  • Other income which includes the following: social security, public assistance, retirement pensions, food stamps, child support, alimony, interest income, and other verifiable forms of income
Do I need to reapply every year?

Yes, you must re-apply every 12 months or anytime your financial status changes.

How will I know if I have been approved?

Patients will receive a decision letter via e-mail with more information, explanation of discount, and instructions for appealing if they did not receive an initial approval while meeting with a Patient Financial Counselor.

Who can I contact if I have additional questions?

Please email us at [email protected] with any questions or visit the front office at any Damien Center service location.