Patients

Insurance and fees



INSURANCE & FEES

La Clínica assists patients and community members in determining if they are eligible for insurance and supports their enrollment process.

Our team helps patients collect all needed documentation to complete applications, and follow up with the appropriate agencies to ensure they are approved. We accept most insurances; our Intake and Benefits Specialists team will help you determine your eligibility for insurance coverage.

It's important for you to understand your insurance and benefits. When scheduling an appointment with our providers, ask about your eligibility to avoid unnecessary fees. Please see below for a list of the medical insurance we accept. Don’t see yours listed? Call us!

MEDICAL INSURANCE PLANS WE ACCEPT

  • Aetna Commercial (DC/MD)
  • Aetna Better Health of Maryland (Medicaid)
  • Amerigroup DC Medicaid
  • Wellpoint MD Medicaid
  • AmeriHealth Caritas DC
  • CareFirst CHP – DC
  • DC HealthCare Alliance
  • CareFirst BCBS Commercial (DC/MD)
  • Cigna Commercial (DC/MD)
  • DC Medicaid Fee for Service
  • FCE Benefits
  • HSCSN Health Plan
  • MD Medicaid Fee for Service
  • Medicare
  • MedStar Family Choice (Medicaid DC/MD)
  • UMR Commercial (DC/MD)
  • United Healthcare Commercial (DC/MD)
  • UHC - Dual Complete (DC/MD)
  • United Healthcare Community Plan Medicaid (MD)
  • CareFirst MD Medicaid

Please present your insurance card and identification at each visit to keep your information updated.

*Any co-payment, co-insurance, or deductible balance is due at the time of service. We accept payment by check, credit card, debit card, and cash.

*If you don’t qualify for insurance coverage, our Intake Team can assess you for our Sliding Fee Schedule of discounts, which will help you get a discount on your care if you qualify.

SLIDING FEE SCALE

At La Clínica del Pueblo, no one is denied care due to the inability to pay.
La Clínica del Pueblo is a Federally Qualified Health Center (FQHC). We offer affordable healthcare to uninsured patients on a Sliding Fee Scale (SFS) based on your household income and family size. Once established, you will know how much you will pay for services. You may determine your SFS eligibility and visit costs, if any, based on the table below:

WHO IS ELIGIBLE TO APPLY FOR THE SFS DISCOUNT?
  • Patients with no health insurance.
  • Patients who are not eligible for other healthcare coverage programs.
  • Patients with third-party insurance that does not cover or only partially covers medical fees.
WOULD I NEED TO APPLY FOR EVERY VISIT?

No. Once approved for a Sliding Fee Scale, it will last a year unless you have changes (increases or decreases) in your income or household size. Every year, you will need to re-apply and submit the required documentation.





SEE SLIDING FEE SCALE