Healthy Neighborhood Health Plan ♥

 

This page explains the Healthy Neighborhood Health Plan
and provides the required forms to fill out and submit.

 
Does BCMC  offer specialized health plans? 

YES - Healthy Neighborhood Health Plan
 
u BCMC offers specialized health plans ~ Healthy Neighborhood Health Plan
u For patients that meet income guidelines
u Sponsored by the Federal Government
u Sliding fee scale for patients up to 200% of poverty based on family size
u The minimum co-pay is $10 and the maximum is $50
u Patients that qualify for this plan can receive free: 
Glucometers (Blood Sugar Machine) and Strips
Electronic Blood Pressure Kits
Annual visit free to the Cardiologist (heart doctor),
    Podiatrist (foot doctor), and Ophthalmologist (eye doctor)
What is the Fee Schedule for Healthy Neighborhood Health Plan? 
 


Bland County Medical Clinic
Healthy Neighborhood Health Plan
Fee Schedule Effective April 1 2008
 
 

Type A

  

  Type B     Type C    Type D   Type E      

Co-pay

    $ 15

   

$ 20

 

   $ 35

 

   $ 45

 

   $ 60    
 
 

Family
 Size

                        
      1      0~10,400      10,401~13,000      13,001~15,600      15,601~18,200      18,201~20,800    
      2   0~14,400   14,401~17,500   17,501~21,000   21,001~24,500   24,501~28,000    
      3   0~17,600   17,601~22,000   22,001~26,400   26,401~30,800   30,801~35,200    
      4   0~21,200   21,201~26,500   26,501~31,800   31,801~37,100   37,101~42,400    
      5   0~24,800   24,801~31,000   31,001~37,200   37,201~43,400   43,401~49,600    
      6   0~28,400   28,401~35,500   35,501~42,600   42,601~49,700   49,701~56,800    
      7   0~32,000   32,001~40,000   40,001~48,000   48,001~56,000   56,001~64,000    
      8   0~35,600   35,601~44,500   44,501~53,400   53,401~62,300   62,301~71,200    
 


  Every effort has been made to insure the correct limits of this chart.
 The limits do change.

 
  If you are not sure of the proper income limit, please call Clinic for confirmation.

Click here to view printable chart
 
 
 

Here is the FORM for the Healthy Neighborhood Health Plan

The form is in Microsoft WORD format, as well as Adobe Reader PDF
(right click, save target as - to download to your computer)

Print document, fill out, and submit in person to BCMC..
  Sliding Fee Application .doc   Sliding Fee Application .pdf