KVHC Sliding Fee Discount Program

Sliding Fee Discount Program Enrollment Assistance

Preventive care like regular checkups, vaccines and screenings are available when you enroll in the Sliding Fee Discount Program. Enrollment for the Sliding Fee Discount Program is available year round and our Certified Enrollment specialists can help you enroll and understand these benefits every step of the way.

Call 207-538-3700 ext. 325 to reach a Certfied Enrollment Specialist

FY2027 Sliding Fee Discount Schedule

Effective April 1, 2026 – March 31, 2027

Federal Poverty Guidelines
Family Size	100% and Below A	101% – 125% B	126% – 150% C	151% – 175% D	176% – 200% E	Over 200% Full Charge
1	$0 – $15,960	$15,961 – $19,950	$19,951 – $23,940	$23,941 – $27,930	$27,931 – $31,920	$31,921 +
2	$0 – $21,640	$21,641 – $27,050	$27,051 – $32,460	$32,461 – $37,870	$37,871 – $43,280	$43,281 +
3	$0 – $27,320	$27,321 – $34,150	$34,151 – $40,980	$40,981 – $47,810	$47,811 – $54,640	$54,641 +
4	$0 – $33,000	$33,001 – $41,250	$41,251 – $49,500	$49,501 – $57,750	$57,751 – $66,000	$66,001 +
5	$0 – $38,680	$38,681 – $48,350	$48,351 – $58,020	$58,021 – $67,690	$67,691 – $77,360	$77,361 +
6	$0 – $44,360	$44,361 – $55,450	$55,451 – $66,540	$66,541 – $77,630	$77,631 – $88,720	$88,721 +
7	$0 – $50,040	$50,041 – $62,550	$62,551 – $75,060	$75,061 – $87,570	$87,571 – $100,080	$100,081+
8	$0 – $55,720	$55,721 – $69,650	$69,651 – $83,580	$83,581 – $97,510	$97,511 – $111,440	$111,441+
Per Each Addtional Member	add $5,680	add $7,100	add $8,520	add $9,940	add $11,360	add $11,360

Based on eligibilty, the patient is responsible for either the nominal fee or for the percentage listed of the total charge. Example: A total charge of $90 for a dental exam with Slide B ($90 x 40% = $36 which is the total patient responsibility)
PAYMENTS MUST BE MADE AT TIME OF VISIT

Sliding Fee Level	Medical & Behavioral Health Services	Preventive** Dental Services	Additional*** Dental Services	Optometry, Rehabilitative Services (Physical Therapy, Chiropractic, Acupuncture, Diagnostic Radiology, Speech Therapy, Massage Therapy)
A*	$10.00	$15.00	$15.00	$15.00
B	$20.00	40%	50%	50%
C	$35.00	60%	65%	60%
D	$45.00	75%	80%	75%
E	$50.00	80%	90%	80%
Over 200%	Full Charge	Full Charge	Full Charge	Full Charge

Certain items provided within a visit(s) cannot be discounted. These include but are not limited to: Injected Medications, Durable Medical Equipment or Supplies, Physical Therapy Aids, Dentures, Crowns, Bridges, and Mouth Guards.

* All patients below 100% of the Poverty Guidelines will be charged the nominal fee listed or less based on demonstrated ability to pay. Preventive and additional services performed in the same visit will result in only one nominal fee.
** Preventive Procedures: exams, cleanings, x-rays, and sealants.
*** Additional Procedures: fillings such as with amalgam (silver) or composite (white), any gum treatments such as scaling and root planning (deep cleaning), and non-surgical simple extractions

KVHC patients who are uninsured and/or wish to purchase glasses as a self-pay patient are eligible to purchase glasses from the deeply discounted Affordable Vision Package.

As a Federally Qualified Health Center (FQHC), Katahdin Valley Health Center (KVHC) provides a sliding fee discount for all services to patients who meet the eligibility guidelines. Sliding fee discounts are determined according to household size and yearly income, regardless of health insurance status. This program allows patients to pay a set co-pay of $10, $20, $35, $45, or $50 per medical visit or a certain percentage on their bill at our dental offices if they qualify.

We Can Help! You may be eligible for a discounted cost on our services, EVEN IF YOU HAVE INSURANCE! The sliding fee discount applies to all our services, including medical, dental, optometry, and pharmaceutical.

We promise to understand. We recognize that not all fee-for-service balances are due to a patient’s unwillingness to pay, as there is often an inability. This practice services all patients regardless of ability to pay. Even if you do not meet federal poverty guidelines or qualify for KVHC’s sliding fee Program, we may be able to help if you can demonstrate a financial hardship.
KVHC complies with Federal civil rights laws and does not discriminate based on race, color, national origin, age or disability, or genetics and, where applicable, sex, marital status, parental status, religious creed, political beliefs, veteran status, and sexual orientation.

Apply For the KVHC Sliding Fee Online

For more information or to apply, you can also ask the front desk at your next visit or call our Patient Assistance Department at 207-538-3700 ext. 325