如果你有保险，你将根据你的保险单支付自付和免赔额. 最正规的赌博软件接受几乎所有的主要保险计划，包括正规的赌博软件保险和正规的赌博软件补助.
If the co-pay is difficult for you to pay, 请联系财务顾问进行安排.
最正规的赌博软件努力为每个人提供负担得起的正规的赌博软件保健，使用基于你的收入和家庭规模的滑动费用规模. 费用按收入和正规的赌博软件(正规的赌博软件、行为健康和牙科)开列如下.
*If you are unable to pay the full charges, 你将和财务顾问一起做安排.
| Income as % of FPL | 0% to 100% | 101% to 138% | 139% to 166% | 167% to 200% | Over 200% |
|---|---|---|---|---|---|
| Medical Fee | $15 | $20 | $25 | $30 | 全额收费，并根据具体情况提供折扣.* |
| Behavioral Health Fee | $15 | $20 | $25 | $30 | |
| Dental Fee | $75 | $100 | $125 | $150 |
Federal Poverty Level (FPL) 是由卫生与公众正规的赌博软件部决定的吗, 按家庭收入及家庭人数划分. Figures listed below are for 2021 FPL.
| Household Size: | 0% to 100% | 101% to 138% | 139% to 166% | 166% to 200% | Over 200% |
|---|---|---|---|---|---|
| 1 | $12,880 | $17,774 | $21,380 | $25,760 | No Limit |
| 2 | $17,240 | $24,039 | $28,917 | $34,840 | No Limit |
| 3 | $21,960 | $30,304 | $36,453 | $43,920 | No Limit |
| 4 | $26,500 | $36,570 | $43,990 | $53,000 | No Limit |
| 5 | $31,040 | $42,835 | $51,526 | $62,080 | No Limit |
| 6 | $35,580 | $49,100 | $59,062 | $71,160 | No Limit |
| 7 | $40,120 | $55,365 | $66,599 | $80,240 | No Limit |
| 8 | $44,660 | $61,630 | $74,135 | $89,320 | No Limit |
How do I verify my income?
为了核实您的收入，最正规的赌博软件要求您提供:
现时收入证明-你必须带备下列其中一份
目前的住址/居住证明-你必须携带以下其中一份
You can complete the Sliding Fees Scale Application online. 如需提交所需文件，请填写最正规的赌博软件的 Patient Information Document Upload Form.
If you are unable to pay the full charges, 你将和财务顾问一起做安排.
最正规的赌博软件努力为每个人提供负担得起的正规的赌博软件保健，使用基于收入的滑动收费标准. 费用按收入和正规的赌博软件(正规的赌博软件、行为健康和牙科)开列如下.
You can complete the Sliding Fees Scale Application online. 如需提交所需文件，请填写最正规的赌博软件的 Patient Information Document Upload Form.
*If you are unable to pay the full charges, 你将和财务顾问一起做安排.
| Income as % of FPL | 0% to 100% | 101% to 138% | 139% to 166% | 167% to 200% | Over 200% |
|---|---|---|---|---|---|
| Medical Fee | None | $20 | $25 | $30 | 全额收费，并根据具体情况提供折扣.* |
| Behavioral Health Fee | None | $20 | $25 | $30 | |
| Dental Fee | None | $100 | $125 | $150 |
Federal Poverty Level (FPL) 是由卫生与公众正规的赌博软件部决定的吗, 按家庭收入及家庭人数划分. Figures listed below are for 2021 FPL.
| Household Size: | 0% to 100% | 101% to 138% | 138% to 166% | 166% to 200% | Over 200% |
|---|---|---|---|---|---|
| 1 | $12,880 | $17,774 | $21,380 | $25,760 | No Limit |
| 2 | $17,420 | $24,039 | $28,917 | $34,840 | No Limit |
| 3 | $21,960 | $30,304 | $36,453 | $43,920 | No Limit |
| 4 | $26,500 | $36,570 | $43,990 | $53,000 | No Limit |
| 5 | $31,040 | $42,835 | $51,526 | $62,080 | No Limit |
| 6 | $35,580 | $49,100 | $59,062 | $71,160 | No Limit |
| 7 | $40,120 | $55,365 | $66,599 | $80,240 | No Limit |
| 8 | $44,660 | $61,630 | $74,135 | $89,320 | No Limit |
该法律规定，个人获得艾滋病毒相关正规的赌博软件的年度累计费用不得超过:
| Individual Income: | Maximum Annual Charge: |
|---|---|
| 0 to $12,490 | $0 |
| More than $12,490 and less than $17,236 | No more than 5% of gross annual income |
| More than $17,237 and less than $20,733 | No more than 7% of gross annual income |
| More than $20,734 | No more than 10% of gross annual income |
请填写以下信息，以计算你的年度限额:
Annual Gross Income $ Your Individual Income x % Charge from Table above % = $______________
确保跟踪你的现款支出. 你可以找到一张表格来记录这些费用 here. Qualifying expenses can be things like:
医生办公室访问心理健康和物质滥用咨询牙科保健眼科保健皮肤科保健处方处方药正规的赌博软件保险保费和共付
如果您达到您的支付上限，联系您的艾滋病病例经理. 在本年度剩余的时间里，KC CARE将不向您收取任何额外的正规的赌博软件费用. 此表格必须每年更新和提交.
Click here to fill out the form.
如果你的HIV病例经理不在KC CARE或者你有问题, 您可以联系财务顾问 .
When is payment due?
当你预约时，付款就到期了. 如果你不能在那个时候付款，你会收到一封邮件的对账单.
How can I make my payments?
你可以用现金、支票或主要信用卡付款. You can pay online here, at the front desk or by mailing a check. 支票应开给KC CARE，寄往密苏里州堪萨斯城百老汇大街3515号，邮编64111.
Do these costs apply to ALL your services?
Fees and co-pays apply to most services. 对于不收费或不包括保险的正规的赌博软件，最正规的赌博软件要求您捐款. Non-Billable services include:
最正规的赌博软件的财务顾问可以帮助您探索其他形式的帮助，可能对您有用.