Sliding Fee Scale

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Our Member Services Specialists can guide you through the enrollment process of our in-clinic Slide Fee and Washington Apple Health.

A sliding fee scale is available based on income and family size. Call (509) 662-6000 or email our Member Services team at enrollment@cvch.org today and ask to speak with an Enrollment Specialist to see if you qualify!

You will be required to present documentation to determine eligibility for the Sliding Fee Program. These documents include proof of income for the last 30 days (paycheck stub or letter from employer) or your most recent tax return. Click here to view the list of required documents in English or click here to view the list of required documents in Spanish. Please bring these documents with you when you meet with your Member Services representative.

 

Percent of Poverty

< 101%

 101 - 133%

 134 - 167%

 168 - 200%

 >200%

Family Size

Family Income Per Year 

1

0 to 15,060

15,061 to 20,030

20,031 to 25,150

25,151 to 30,120

30,121

2

0 to 20,440

20,441 to 27,185

27,186 to 34,135

34,136 to 40,880

40,881

3

0 to 25,820

25,821 to 34,341

34,342 to 43,119

43,120 to 51,640

51,641

4

0 to 31,200

31,201 to 41,496

41,497 to 52,104

52,105 to 62,400

62,401

5

0 to 36,580

36,581 to 48,651

48,652 to 61,089

61,090 to 73,160

73,161

6

0 to 41,960

41,961 to 55,807

55,808 to 70,073

70,074 to 83,920

83,921

7

0 to 47,340

47,341 to 62,962

62,963 to 79,058

79,059 to 94,680

94,681

8

0 to 52,720

52,721 to 70,118

70,119 to 88,042

88,043 to 105,440

105,441

9

0 to 58,100

58,101 to 77,273

77,274 to 97,027

97,028 to 116,200

116,201

10

0 to 63,480

63,481 to 84,428

84,429 to 106,012

106,013 to 126,960

126,961

11

0 to 68,860

68,861 to 91,584

91,585 to 114,996

114,997 to 137,720

137,721

12

0 to 74,240

74,241 to 98,739

98,740 to 123,981

123,982 to 148,480

148,481

Family Size

Family Income Per Month 

1

0 to 1,255

1,256 to 1,669

1,670 to 2,096

2,097 to 2,510

>2,510

2

0 to 1,703

1,704 to 2,265

2,266 to 2,845

2,846 to 3,407

>3,407

3

0 to 2,152

2,153 to 2,862

2,863 to 3,593

3,594 to 4,303

>4,303

4

0 to 2,600

2,601 to 3,458

3,459 to 4,342

4,343 to 5,200

>5,200

5

0 to 3,048

3,049 to 4,054

4,055 to 5,091

5,092 to 6,097

>6,097

6

0 to 3,497

3,498 to 4,651

4,652 to 5,839

5,840 to 6,993

>6,993

7

0 to 3,945

3,946 to 5,247

5,248 to 6,588

6,589 to 7,890

>7,890

8

0 to 4,393

4,394 to 5,843

5,844 to 7,337

7,338 to 8,787

>8,787

9

0 to 4,842

4,843 to 6,439

6,440 to 8,086

8,087 to 9,683

>9,683

10

0 to 5,290

5,291 to 7,036

7,037 to 8,834

8,835 to 10,580

>10,580

11

0 to 5,738

5,739 to 7,632

7,633 to 9,583

9,584 to 11,477

>11,477

12

0 to 6,187

6,188 to 8,228

8,229 to 10,332

10,333 to 12,373

>12,373

 

 

Sliding Fee Scale 2025

Percent of Federal Poverty Guideline

<101%

101-133%

134-167%

168-200%

>200%

Program or Service

A

B

C

D

 

Medical*

$40

75% Slide

50% Slide

25% Slide

not applicable

Medical Tier 2

$150

$180

$210

$240

not applicable

Dental*

$40

$90

$150

$180

not applicable

Dental Tier 2**

$250

75% Slide

50% Slide

25% Slide

not applicable

Behavioral

$15

75% Slide

50% Slide

25% Slide

not applicable

SUD

$15

75% Slide

50% Slide

25% Slide

not applicable

Diabetes and Nutrition

$15

75% Slide

50% Slide

25% Slide

not applicable

Outreach

$0

$0

$0

$0

not applicable

Laboratory

100% Slide

75% Slide

50% Slide

25% Slide

not applicable

Contraceptive Devices***

Acquisition + $40

Acquisition + $80

Acquisition + $120

Acquisition + $160

not applicable

Vaccines***

Acquisition + $25

Acquisition + $50

Acquisition + $75

Acquisition + $100

not applicable

Pharmacy<30-day supply***

Acquisition + $5

Acquisition + $6

Acquisition + $7

Acquisition + $8

not applicable

Pharmacy>30-Day supply***

Acquisition + $10

Acquisition + $12

Acquisition + $14

Acquisition + $16

not applicable