At Valley Health, we believe everyone deserves access to high-quality, affordable health care. Our Sliding Fee Discount Program helps reduce the cost of medical services for individuals and families based on income and household size. This program is available at all Valley Health locations and applies to all eligible, in-scope services.
We provide care regardless of your insurance status or ability to pay, ensuring that essential health services remain accessible to all members of our community.
What is the Sliding Fee Discount Program?
The Sliding Fee Discount Program is designed to help patients with limited income by offering significant discounts on health care costs. Patients at or below 200% of the Federal Poverty Level (FPL) may qualify for reduced rates, even if you already have insurance.
Available Languages for Sliding Fee Policy:
Sliding Fee Policy (Simple Chinese) 2026
Sliding Fee Policy (Spanish) 2026
Who Can Apply?
- Any individual or family, including those with private or commercial insurance
- Eligibility is based on total household income and family size
- You do not need to be uninsured to qualify
We encourage anyone who may benefit to apply, especially if high medical costs are a barrier to care.
How to Apply for the Sliding Fee Discount Program
- Download the Sliding Fee Application from ValleyHealth.org.
- Include proof of income (such as pay stubs, tax returns, or benefit statements). If the applicant has no income, submit a Self-Declaration Letter stating they currently receive no income.
- Bring the completed application and proof of income to any Valley Health location. Our front office staff will be happy to help guide patients through the process.
After You Apply
- You’ll receive a decision letter in the mail.
- If approved, you’ll also get a Sliding Fee Discount Card valid for one year.
- Valley Health will retroactively apply your discount to any eligible charges from the three months prior to your approval.
Benefits/Nominal & Established Fees
The patient pays greater than the nominal fee or discounted charge. Payment is expected at the time of service.
Cash Payment Discounts at Valley Health
Valley Health offers cash discounts to eligible patients who prefer to pay for medical services out of pocket. This program is designed to provide affordable care for patients who do not have insurance or access to other payment assistance programs.
Eligibility Guidelines for Cash Discounts
To qualify for a cash discount, the following conditions must be met:
- The patient must request the discount directly from their preferred Valley Health provider’s office.
- Insurance, third-party payers, and government programs (such as Medicaid or Medicare) are not applicable.
- No other discounts, including sliding fee scales, may be applied to the charges.
- The patient’s account must be in good standing (not in collections).
- Full payment of the discounted balance is due within 30 business days of the offer.
Optometry Services
Patients without insurance who pay out of pocket may receive a cash-pay discount on eyeglasses and eligible exam services. Cash-pay discounts do not apply to contact lens materials.
- Payment in full, after any applicable discount, must be received before an eyeglass order is placed.
Dental Services
For major dental procedures or appliances, patients must:
- Pay in full (after discount) by the date of insertion or by the completion date of the service.
- Optometry
- Patients paying in cash for contact and/or glasses will receive an automatic discount.
- Before being ordered, glasses and/or contacts (minus the discount) must be paid in full.
- Dental
- Payment for major dental services or appliances (minus the discount) must be paid in full by the insertion date or the date the service is completed.
How to Pay Your Bill
- Log on to MyChart to pay securely online.
Request a Good Faith Estimate
Under the No Surprises Act, you have the right to request a Good Faith Estimate of your medical costs if you are uninsured or not using insurance.
Your estimate will include expected charges for:
- Medical services and tests
- Prescription medications
- Medical equipment
- Hospital or outpatient facility fees
When to Expect It
Your provider must give you a written estimate at least 1 business day before your scheduled service. You can request one at any time—before scheduling or at the time of inquiry.
If your final bill is $400 or more above the estimate, you can dispute it.
For more information, visit cms.gov/nosurprises