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 Home|Falls Community Health>Billing Questions?


Billing Questions

  • Monday-Friday: 8 a.m. to 12 noon, and 1 p.m. to 5 p.m.
  • Call 367-8793 or email at FCH@siouxfalls.org
  • 521 North Main Avenue, Suite # 100, Sioux Falls, SD.

Q: How do I qualify for a discount on services at the Community Health Center?
A: The Community Health Center charges on a sliding scale based according to gross income and number of family members. At your first appointment, you will complete a billing form and bring income verification with you. Examples of verification include:

  • Paycheck stubs.
  • W2 or 1040 Federal Tax Return.
  • Notice of action from food stamps.

Q: What is sliding fee scale?

  • A discounted fee per service.
  • Minimum fee per visit is $15 for medical and $35 for dental and is expected on the day of service.
  • The discounted is based on household size and income.
  • The fees are then based on the ability to pay, at either 0, 20, 40, 60, or 80 percent of standard patient fees.
  • The remaining amount of fee is covered by a grant by Public Health Service.
  • Your income must be checked on a 6 month basis after the first visit.
  • All services completed at the clinic can be received on the sliding fee scale.

Q: What are the discount guidelines?
A: The Community Health Center sliding fee schedule is based on the federal government’s poverty guidelines which are updated annually. Examples of who could qualify for the discount include:

  • A family of four earning $26,500 annually would receive an 80 percent discount on services and be responsible for 20 percent of the charges.
  • A family of three earning $26,400 annually would receive a 40 percent discount on services and be responsible for 60 percent of the charges.
  • One person earning $20,800 annually would not receive a discount and be responsible for 100 percent of the charges.

Q: What types of payment does the clinic accept?
A: The Community Health Center accepts Medicare, Medicaid, CHIP (Children’s Health Insurance Program), and private insurance.

Q: Is the Community Health Center a free clinic?
A: No, The Community Health Center expects payment for all services provided. The clinic requires a co-pay if you are uninsured. The co-pay is expected at time of service and is $15 for the medical clinic and $35 in the dental clinic. Any balance remaining after your co-pay is your responsibility. The Community Health Center will work with you to set up payment arrangements.

Q: How is billing done?

  • You must pay for the charges under your family’s name.
  • The clinic will take care of Medicare, Medicaid, and Title 10 forms for you but the fees not covered must be paid by the patient.
  • Each time you visit a $15 payment must be given.
  • You will be billed each month and a monthly payment on your bill is expected to keep your account in good standing.
  • Questions about billing can be answered by calling 367-8770.
  • Special arrangements can be made under extreme situations.
  • Call the above number to set up an arrangement that will work for both you and the clinic.