Uninsured? No problem. We strive to ensure no patient is denied care due to an inability to pay for our services. Our Sliding Fee Discount Program allows us to “slide” or reduce fees for eligible patients. We encourage you to to set up an appointment with our eligibility team to assess whether you qualify for free or discounted services. Our eligibility specialists are highly trained to find programs and coverage options that will make healthcare more affordable.

Eligibility for the Sliding Fee Discount Program is determined by a patient’s household size and annual income. An application must be completed and proof of income is required. Discounts are applied based on federal poverty income guidelines, updated annually by the federal government. While fees for eligible patients are reduced, a nominal fee for services will be the patient’s responsibility. Payment is expected at the time of service.

Patients with insurance also may be eligible for discounts and are encouraged to apply.

How To Apply?

Use the button below to click on the application.  Fill in the form, save it, then attach to the contact form below or email it to us at forms@tomagwa.org

If you need to speak with a TOMAGWA eligibility specialist, call us at 281-357-0747