Question Cash Pay Rates

kstine713

Networker
Messages
41
Best answers
0
Hello,

We offer Behavioral Health Services, but are a cash pay only practice. We are not credentialed with any payers, and do not file to insurance. Since all patients pay for services up front, are we able to offer a different cash pay price to different patient populations? For example, our Medicaid patients tend to struggle to afford the fees we have set. Is it okay to have a "sliding scale," and offer a discounted price to different patients? What issues could we run into?

Thank you!
Kaytie
 

SharonCollachi

True Blue
Messages
1,624
Location
Clovis, CA
Best answers
3
You can have a sliding scale, but you have to base it on each person's financial need, not a particular subset of patients. You can take the federal poverty level (available on a google search), and do a percentage schedule, such as, if your household income is at the poverty level, then you pay 30% of the regular fee. If you're at 110% of poverty level, you pay 40% of the regular fee - whatever your practice thinks is reasonable and workable.

Here is one example that someone has worked out:

1611676543725.png
 
Top