Discount Program

SLIDING SCALE OF FARES / DISCOUNTED PRICES

BOD Approved: 01/01/2025 rev 1/17/2025

BRADLEY-POLK WALK-IN CLINIC offers a sliding scale rate/discounted pricing. Discounts are offered based on income and family size. A scale is used to calculate the discount and is updated each year based on the Federal Poverty Guidelines.

To be eligible for Sliding Fee Scale discounts, you must follow the policy set forth by the BRADLEY-POLK WALK-IN CLINIC. The policy requires an application to be completed and truthful and accurate financial records must be submitted, i.e., the income tax return for the past few years and/or pay stubs for the last three months, of all working people living in the home and a tally of all people living in the home. (Ask our front desk staff for a copy of the policy.)

Anyone applying for the Variable Fee Program will need to apply for Tennessee Medicaid and submit documentation from the Department of Community Services as to whether it was approved or denied. Each year, you will be asked to reapply for Tennessee Medicaid, submit financial records, and complete a new application.

Due to the cost of various services provided by BRADLEY-POLK WALK-IN CLINIC, although discounts are applied in accordance with the adopted Sliding Fee Scale Program, discounts on specialty services are calculated differently.

Medical laboratory fees are discounted. The discount does NOT apply to out-of-office referred care.

ESCALA MÓVIL DE TARIFAS / PRECIOS CON DESCUENTO

Aprobado por BOD: 01/01/2025 rev 1/17/2025

BRADLEY-POLK WALK-IN CLINIC ofrece una tarifa de escala móvil / precios con descuento. Se ofrecen descuentos en función de los ingresos y el tamaño de la familia. Se utiliza una escala para calcular el descuento y se actualiza cada año en función de las Pautas Federales de Pobreza.

Para ser elegible para los descuentos de la Escala Móvil de Tarifas, debe seguir la política establecida por BRADLEY-POLK WALK-IN CLINIC. La póliza requiere que se complete una solicitud y se deben presentar registros financieros verraces y precisos, es decir, la declaración de impuestos sobre la renta de los últimos años y / o los talones de pago de los últimos tres meses, de todas las personas que trabajan que viven en el hogar y un recuento de todas las personas que viven en el hogar. (Solicite a nuestro personal de recepción una copia de la póliza).

Cualquier persona que solicite el Programa de Tarifas Variables deberá solicitar Medicaid de Tennessee y presentar documentación del Departamento de Servicios Comunitarios en cuanto a si fue aprobado o denegado. Cada año, se le pedirá que vuelva a solicitar Medicaid de Tennessee, envíe registros financieros y complete una nueva solicitud.

Debido al costo de varios servicios prestados por BRADLEY-POLK WALK-IN CLINIC, aunque los descuentos se aplican de acuerdo con el Programa de Escala Móvil de Tarifas adoptado, los descuentos en servicios especializados se calculan de manera diferente.

Las tarifas de laboratorio médico tienen descuento. El descuento NO se aplica a la atención referida fuera del consultorio.

Effective 1/1/2025 – Based Upon the Federal Register Vol.90, No. 11 Friday, rev. January 17, 2025

1. All patients, regardless of income, are subject to the nominal charge.

2. Denial of services is not based solely on inability to pay.

3. Family units with more than 10 members, add $5,500 for each additional member.

4. Eligibility for the Sliding Fee Program will be effective for no more than the following 12 months.



To qualify for the Sliding Fee Program, a Sliding Fee Application must be completed with proof of income and a photo ID.