Adjustable Payment Plan/ Sliding Fee Scale

CNAHSI offers a sliding fee scale program to its patients, the Adjustable Payment Plan (APP), based on household size and gross household income. Patients that are uninsured or underinsured and whose annual income is at or below 200% of current DHHS Federal Poverty Guidelines may qualify for this program.

Patients who utilize the APP are required to verify their income status at each visit. Any change including but not limited to household size, insurance status, or income should be reported to the front desk. Once approved, the patient will remain qualified for one year, unless a change in family size or family income is reported that will change the APP category or eligibility for the adjustment. Patients must re-certify annually, and eligibility is reevaluated annually.

The APP makes care affordable

• Category A patients receive a 100% adjustment on total charges and will pay a nominal fee.

• Category B, C, D, and E patients pay a minimal fee that varies and will be responsible for any additional charges after adjustments are applied.

*Procedures and services such as Preventative Dental, Pharmacy, Chiropractic, Radiology, and Behavioral Health have different fees.

How to Apply?

You can complete an APP application at any of our Family Health Centers.

• Your Gross Household Income: Current 2-4 pay stubs (2 pay stubs if paid biweekly, 4 pay stubs if paid weekly). IRS Form1040, child support, alimony, SSI benefits, etc., for every member of your household.

• Your Household Information: Demographic information for every member of your household (names, DOB).

• Your Photo ID

• Your Insurance Information and Card/s (if any)

The above listed items are needed for approval of the program. Please ask if you have any questions about the APP, our policies, or your responsibilities.

Medical Emergencies

In the event of a life-threatening medical emergency, dial 911 immediately. DO NOT WAIT! Inform the emergency room staff that you are a patient of Central North Alabama Health Services, Inc. and they will contact us.

After Hours Access to Care

If you need medical care after hours, CNAHSI provides a 24-hour on-call service on weekdays, weekends, and holidays. To reach a provider, call the number of your health center. The Answering Service will contact the provider on call who will return your call as soon as possible. If you have a life-threatening emergency, please dial 911 immediately. Please note the after-hours service should not be used for non-urgent matters, refills, referrals, or appointments; we ask that you call back during normal business hours for non-urgent matters .