Sliding Fee & Billing
Affordable Healthcare for Everyone
Healthcare should never be a luxury. Our Sliding Fee Discount Program ensures that quality medical, dental, and pharmacy services remain accessible regardless of your financial situation. This program adjusts the cost of your care based on your income and family size, making essential healthcare affordable for individuals and families in our community.
How It Works
The sliding fee scale reduces your out-of-pocket costs for healthcare services based on your household income and the current Federal Poverty Guidelines. The lower your income relative to the poverty level, the greater your discount. This means you pay what you can afford while still receiving the same high-quality care as all our patients.
DOWNLOAD SLIDING FEE APPLICATION
What are the current OCHC Sliding Fee discounts?
Who Qualifies
You may be eligible if you:
- Are uninsured or underinsured
- Have limited income resources
- Face financial hardship due to medical expenses
- Are experiencing temporary financial difficulties
- Have insurance that doesn’t cover certain services
All patients are welcome regardless of:
- Employment status
- Insurance coverage
- Ability to pay
- Race, ethnicity, or national origin
- Age, gender, or sexual orientation
- Religious beliefs or political affiliation
Services Covered
Sliding fee discount typically applies to our core primary care services, including:
- Medical
- Dental
- Optometry
- Behavioral Health
- Preventive Care
Application Process
Step 1: Complete the Application
Fill out our sliding fee application form with information about your household income, family size, and expenses.
Step 2: Provide Documentation
Bring documentation of your income from the past 30 days, such as:
- Pay stubs
- Tax returns
- Social Security statements
- Unemployment benefits documentation
- Bank statements
- Self-employment records
Step 3: Meet with Our Financial Counselor
Our trained staff will review your application confidentially and determine your discount level. This typically takes 15-30 minutes.
Step 4: Receive Your Discount
Once approved, your sliding fee discount will be applied immediately and remain valid for one year.
Required Documentation
Income Verification (choose what applies):
- Recent pay stubs (last 30 days)
- Current tax return
- Social Security/disability award letters
- Unemployment compensation records
- Worker’s compensation statements
- Bank statements showing deposits
- Self-employment income records
Household Size Verification:
- Tax returns listing dependents
- Social Security cards for household members
- Birth certificates for children
- Legal guardianship papers (if applicable)
Important Information
Confidentiality: All information provided is kept strictly confidential and used only to determine your eligibility for discounted services.
Annual Renewal: Sliding fee discounts are valid for 12 months. You’ll need to reapply annually or when your financial situation changes significantly.
Changes in Income: Please notify us if your income increases or decreases significantly, as this may affect your discount level.
Emergency Care: If you need immediate medical attention, don’t let financial concerns delay your care. We will work with you on payment arrangements after you receive necessary treatment.
Payment Options
Even with sliding fee discounts, we offer additional payment flexibility:
- Payment plans with no interest
- Monthly installment options
- Cash discounts for upfront payment
- Credit card and electronic payment acceptance
- Money orders and cashier’s checks accepted
How to Apply
In Person: Visit our front desk during regular business hours to complete an application with our financial counselor.
By Phone: Call [phone number] to schedule an appointment or request an application be mailed to you.
Before Your Visit: You can begin the process by gathering your income documentation ahead of time to expedite your application.
Language Assistance: Translation services are available for non-English speakers during the application process.
Our Commitment
We believe that everyone deserves access to quality healthcare. Our sliding fee program reflects our commitment to serving our entire community, regardless of financial circumstances. We’re here to help you navigate the application process and find the most affordable path to the care you need.
Questions? Our financial counselors are available to explain the program, help with applications, and answer any questions about eligibility or the application process. Don’t hesitate to ask – we’re here to help make healthcare accessible for you and your family.
TO SCHEDULE AN APPOINTMENT
CALL (651) 290-9200
Concerned about cost? We have a sliding fee, and will find a way to work with you, regardless of your ability to pay. View our uninsured options.
If you need of an interpreter they are available in any language upon request.


(651) 290-9200 | info@opencitieshealth.org
Dunlap Clinic
409 North Dunlap St., St. Paul, MN 55104
Hours: Monday-Friday: 8am-5pm
North End Clinic
916 Rice St., St. Paul, MN 55117
Hours: Monday-Friday: 8am-5pm
St. Paul City School – Wolves Clinic
215 University Ave W, St. Paul, MN 55103
Hours: Monday & Wednesday: 8am-5pm