Sliding Fee Discount Program

At NBHCP, cost is never a reason to skip care. Our Sliding Fee Discount Program adjusts the cost of services based on your household income and family size — so you only pay what you can afford.

Sliding Fee Discount Program

Nehalem Bay Health Center & Pharmacy offers a Sliding Fee Discount Program to help make healthcare more affordable.

Eligible patients may receive a discount based on household income and family size. Patients may apply whether they have insurance or not.

No one will be denied services because of an inability to pay.

Who Can Apply?

All patients may apply for the Sliding Fee Discount Program, including patients who:

  • Do not have health insurance
  • Have private insurance
  • Have Medicare
  • Have the Oregon Health Plan or other coverage

Eligibility is based on household income and family size, not insurance status.

How Much Will I Pay?

Your discount level is determined using the current Federal Poverty Guidelines and NBHCP’s approved Sliding Fee Discount Schedule.

How to Read the Income Chart

  1. Find your household size in the first column.
  2. Find the income range that includes your annual household income.
  3. Follow that column to identify your discount level.
  4. Review the patient charge associated with that level.

The chart should include:

  • Household size
  • Annual income ranges
  • Discount levels
  • Patient charges
  • The effective date of the schedule

Patients with household income above 200% of the Federal Poverty Guidelines do not qualify for a sliding fee discount.

How to Apply

Step 1: Download the Application

Complete the Sliding Fee Discount Program application and provide the household and income information requested on the form.

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Step 2: Review the Income Guidelines

Use the current income guidelines to estimate the discount level for which you may qualify.

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Step 3: Submit Your Application

Return your completed application and any required income documentation to the front desk at:

Nehalem Bay Health Center & Pharmacy
885 Nehalem Boulevard
Wheeler, Oregon 97147

Staff are available to answer questions and help you complete the application.

What Happens After You Apply?

Our staff will review your application and determine your eligibility based on the information provided.

We will contact you if additional information or documentation is needed. Once your application has been reviewed, you will be notified of your discount level.

Please let us know if your household size or income changes.

Sliding Fee Discount Program Forms & Resources

Sliding Fee Discount Program Application

Download

Sliding Fee Discount Program Application Spanish

Download

Income Guidelines

Download

Pautas de Ingresos de la Escala Móvil

Download

Insurance & OHP

We accept OHP (Oregon Health Plan), Medicare, and most private insurance plans. If you have insurance, we encourage you to use it — the Sliding Fee Discount Program is designed to support patients who are uninsured or underinsured. Need help enrolling in OHP or finding a health plan? Visit our Insurance Enrollment Help page.

Frequently Asked Questions

Can I apply if I have insurance?

Yes. Patients with insurance may still qualify for reduced out-of-pocket costs based on household income and family size. Discounts may be subject to insurance requirements.

What if I do not have income?

Please speak with a staff member. We can explain what information may be needed to document your current circumstances.

Is applying required?

No. Applying is voluntary. Patients who do not apply or do not provide the information needed to determine eligibility will be responsible for applicable charges.

Will I be denied care if I cannot pay?

No. Nehalem Bay Health Center & Pharmacy will not deny services because of an inability to pay.