FPL Income Bracket Schedule
Updated Jan 1, 2026
FPL RangeTierDiscountMedical CopayDental CleaningMental HealthLab Draw
0 – 100% FPL Tier 1 Full Discount $0 $0 $0 $0
101 – 125% FPL Tier 2 80% Discount$20$15$20$10
126 – 150% FPL Tier 3 60% Discount$40$30$40$15
151 – 175% FPL Tier 4 40% Discount$60$45$60$20
176 – 200% FPL Tier 5 20% Discount$80$60$80$25
>200% FPL Full Fee No Discount Full fee per scheduleFull feeFull feeFull fee
Full Fee Schedule: Medical Visit $487 | Dental Cleaning $185 | Mental Health $320 | Lab Draw $95 | These represent charges before sliding fee discount application.
Fee Schedule by Service Type
Service TypeFull FeeTier 1 ($0)Tier 2 CopayTier 3 CopayTier 4 CopayTier 5 Copay
Medical Visit$487$0$20$40$60$80
Dental Cleaning$185$0$15$30$45$60
Mental Health (50 min)$320$0$20$40$60$80
Lab Draw (routine)$95$0$10$15$20$25
Vision Exam$215$0$15$30$45$60
Substance Use Counseling$280$0$20$40$60$80
Enabling Services$60$0$0$5$10$15
HRSA Compliance Checklist
All Items Met
No patients turned away for inability to pay
All patients receive services regardless of ability to pay — HRSA PIN 2014-02 compliant
Fees based on ability to pay (FPL determination)
Income verification process in place; annual re-attestation required
Sliding fee scale publicly available
Posted in clinic lobby, on website, and provided at registration — English / Spanish
Schedule reviewed and updated annually
Last updated January 1, 2026 per HHS FPL guidelines. Next review: Jan 1, 2027
Board-approved sliding fee policy
Approved by Board of Directors on December 18, 2025. Resolution #2025-14 on file
FPL Income Calculator

Calculate patient's FPL percentage and sliding fee tier based on household size and income.

2026 FPL Reference
Size100% FPL200% FPL
1$14,580$29,160
2$19,720$39,440
3$24,860$49,720
4$30,000$60,000
5$35,140$70,280
6$40,280$80,560
Source: HHS 2026 Poverty Guidelines. Each additional person: +$5,140.
AI Assistant
About Sliding Fee Scale

The Sliding Fee Scale (SFS) is an HRSA requirement for all FQHCs. Fees must be based on the patient's ability to pay using HHS Federal Poverty Level guidelines.

Using the Calculator
  • Enter the patient's family size and annual household gross income.
  • Click Calculate to determine FPL percentage and assigned tier.
  • The assigned tier determines the copay for each service type.
HRSA Requirements
  • No patient may be denied care due to inability to pay.
  • Fee schedule must be updated annually using current HHS FPL guidelines.
  • Board approval is required for the fee schedule each year.
  • The scale must be publicly posted in English and other applicable languages.
Income Verification

Patients must self-attest income. Documentation (pay stubs, tax returns) may be requested but cannot be required as a condition of receiving services.

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