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Applying for the BMS Sliding Fee Scale

 

BMS offers discounted fees of up to 90% for qualified patients. Eligibility is based on family size, household income and zip code. The following documentation is required for sliding fee eligibility:

 

 

  • Proof of current address with zip code (such as drivers' license, state ID card, pay check stub, phone bill, lease or BGE bill)
  • Your most recent federal tax return
  • And one of the following:
    • Two current pay stubs
    • Unemployment stub
    • Letter from employer on company letterhead – if no letter head is available, a notarized letter will be accepted
    • Award or benefit letter

 

If you do not have any of the above, please provide a letter of reference from a non-profit organization that can vouch for your circumstances (e.g. church). The letter must be on the organization's official letterhead.

 

Sliding Fee Brochure

St. Agnes Sliding Fee Brochure

 

To learn more about BMS sliding fee scale discount program, contact a Health Benefits Advisor at any BMS health center.