Short answer: anyone. Here's what determines how much you pay.
FQHCs are required by federal law to see all patients regardless of insurance status, immigration status, or ability to pay. You cannot be turned away.
No. FQHCs serve uninsured patients through a sliding fee discount program. If you have insurance (Medicaid, Medicare, or private), it will be billed. If you are uninsured, your fee is based on your income.
FQHCs use the Federal Poverty Level (FPL) to set fees. Here's a general guide for 2025:
| Income Level (% FPL) | Approx. Annual Income (Family of 4) | Typical Fee |
|---|---|---|
| 0–100% FPL | $0–$31,200 | Nominal fee ($0–$20) |
| 101–150% FPL | $31,201–$46,800 | Reduced fee (~$20–$40) |
| 151–200% FPL | $46,801–$62,400 | Reduced fee (~$40–$80) |
| Above 200% FPL | Over $62,400 | Full fee or insurance billed |
Note: Exact fees vary by clinic and are updated annually. Always call ahead to confirm the current fee schedule.
FQHCs serve patients regardless of immigration status. You are not required to provide a Social Security number or proof of legal residency. FQHCs do not share patient information with immigration authorities.
Undocumented immigrants may not qualify for Medicaid (depending on state), but can still receive care under the sliding fee scale.
Most FQHCs will see any patient, but some have defined service areas. If you're outside their usual geography, you may be seen as a courtesy patient. Call ahead if you're coming from far away.
For the sliding fee scale, bring one or more of:
If you have no income, say so. Most clinics will accept a self-attestation form and may charge $0 or a minimal nominal fee.
FQHCs are used to helping patients figure out eligibility and payment at the appointment. Don't let uncertainty about paperwork stop you from getting care.
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