Patient Resources and New Jersey Health Insurance Assistance

Your Information. Your Rights. Our Responsibilities.

 
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

HIPAA NOTICE OF PRIVACY PRACTICES – ENGLISH

• NJ Helps – Screen your eligibility for services and assistance offered in the state of New Jersey.
• NJ Quitline – Quit smoking and get the support you need to stay smoke-free.

The sliding fee discount schedule will be used to determine patient’s eligibility for government programs such as Medicaid and uncompensated care. The sliding fee discount schedule is established and implemented to ensure that uniform and appropriate discounts are consistently applied to all eligible patients. Eligibility is based on income and family size only. For those patients at or below the minimum criteria of the federal poverty guidelines (FPG), there will be full discount to all fees with the exception of a nominal fee charged for services on each visit. Financial status will not be used as a barrier to medical treatment when a patient contacts the Center or any of its satellite facilities. Patients whose income, residency status, and family size exceed the requirement for government benefits will be referred to apply for insurance coverage in the Marketplace or the insurance exchange. Those patients will not be eligible for any fee discounts. The parameters for the SFDS for uninsured self-pay patients and those eligible for uncompensated care (Charity Care) are as follows:

• Family income and family size are at or below 100% of the FPG are offered a 100% discount with the exception of a nominal fee
• For uninsured self-pay patients whose family income and family size classify those as being above 100% of the FPG but below 200% of the FPG are given a partial discount on services at the health center.
• For patients eligible for uncompensated care whose family income and family size classify those as being above 100% of the FPG but below 250% of the FPG are given a partial discount on services at the health center.
• Uninsured self-pay patients with family income and family size above 200% of the FPG are not eligible for any discounts and will be charged the FULL FEE FOR SERVICES provided.
• Patients who are deemed to be non-compliant with initial or ongoing registration requirements for government programs they are eligible for will be charged FULL FEE FOR SERVICES provided.

Patients with insurance will pay the co-pay indicated on their insurance card. Insured patients may also participate in the sliding fee discount program if their co-pay is higher than the fee on the sliding fee discount schedule.