Payments, Rates, and Fees

To continue offering the best possible service, our self-pay and uninsured medical and dental rates will adjust on June 1, 2026

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PAYMENTS

Privacy Policy

We respect and are committed to protecting your privacy. We may collect personally identifiable information when you visit our site. We also automatically receive and record information on our server logs from your browser including your IP address, cookie information and the page(s) you visited. We will not sell your personally identifiable information to anyone.

Security Policy

Your payment and personal information is always safe. Our SSL software is the industry standard and among the best software available today for secure commerce transactions. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet.

SLIDING FEE SCALE

Suncoast Community Health Centers discounts services for patients with incomes at or below 175% of the Federal Poverty Line in accordance with the established sliding fee scale.

You may qualify for a sliding fee for your medical, dental, laboratory, and medication needs. This program is intended to provide health care for people who otherwise may not receive it. You are expected to pay the discounted rate or minimum fee for services. If you cannot pay at the time of service, please make arrangements for payments.

How does it work?

What do you mean by income?

What do you consider a family?

If other family members live in the household, please provide documentation such as:

The following items may be used as a proof of entire household income:

Gross wages (paystubs showing 1 month's worth of income, 4 paystubs if paid weekly or 2 if paid biweekly) of each spouse or household income and household size
SSI/SSDI (Social Security Income/Social Security Disability Income) letter or bank statement showing amount being deposited on a monthly basis
Pension/Annuities/Alimony
Child Support (court order showing amount entitled to receive or notarized letter of paying parent)
Unemployment – letter from unemployment facility or bank statement showing amount entitled to receive
Worker's Compensation/Retirement/Cash Assistance
Tax Return Form
Suncoast Financial Support Statement/Self Declaration of Income form (provided at your appointment)
Suncoast Employment Verification form if paid cash (provided at your appointment)

We accept any of the following as proof of income:

Gross wages (paystubs showing 1 month’s worth of income, 4 paystubs if paid weekly or 2 if paid biweekly) of each spouse or household income and household size
SSI/SSDI (Social Security Income/Social Security Disability Income) letter or bank statement showing amount being deposited on a monthly basis
Pension/Annuities/Alimony
Child Support (court order showing amount entitled to receive or notarized letter of paying parent)
Unemployment – letter from unemployment facility or bank statement showing amount entitled to receive
Worker’s Compensation/Retirement/Cash Assistance
Tax Return Form
Suncoast Financial Support Statement/Self Declaration of Income form (provided at your appointment)
Suncoast Employment Verification form if paid cash (provided at your appointment)

RATES AND FEES - SLIDING FEE SCALES - CLICK HERE

Please be advised that sliding scales require a deposit amount at the time of each office visit during the check-in process. The amount of deposit is applied towards your share of the total charges for services rendered (including laboratory testing).

Payments, Rates, and Fees

RATES AND FEES - SLIDING FEE SCALES - CLICK HERE

Suncoast Community Health Center, Inc.

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