Frequently Asked Questions
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What is a sliding fee scale?
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The cost of services is determined by the household income and size and is adjusted based ability to pay.
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Who can apply for Open Door Program?
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Anyone who is unable to pay the standard fees due to limited or no insurance coverage or financial resources can apply for the Open Door Program.
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Can I apply if I have insurance?
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Yes, you can apply however any insurance benefits you do have need to be exhausted/utilized before submitting an application for the Open Door Program. The Open Door Program cannot be used to pay deductibles, co-pays, co-insurance or spenddowns.
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How is eligibility for the sliding fee determined?
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Eligibility for the Open Door Program is determined by a completed application providing household income and size information. Information about any extenuating circumstance and proof of income are also used to determine eligibility.
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How do I get an application for the program?
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Applications will be provided at time of intake. Applications are not available on our website.
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What type of documents do I need to bring to apply for the program?
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You will need to provide proof of income for all working household members over the age of 18 with the completed Open Door application.
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Please include all sources of income e.g. salaries, wages, social security, unemployment, disability income, retirement income, investments, etc. for each individual who contributes to the household income.
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To prove income you are required to provide.
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Most recent Federal Tax Return showing annual income (Form 1040)
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OR 2 most recent pay-stubs from those working in the household.
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If I do not want to provide financial information, am I still eligible for sliding fee discount offered through the Open Door Program?
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No, the eligibility for Open Door Program is largely determined by your financial situation. If you choose not to provide this information, you will be ineligible for the Open Door Program and will need to pay the full fee for services.
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Who is considered a household member?
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Household member refers to all persons related by birth, marriage, or adoption who reside together as well as dependents, and others in the same tax household.
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When does the sliding fee scale expire?
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The sliding fee scale will expire at the of the month, 12 months after approval date. Client’s must re-apply yearly prior to their expiration date in order to continue being covered by the Open Door Program. If there is a lapse clients may be responsible for the full amount of charges during that time period.
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What services are covered under this program?
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The Open Door Program can be used for office visits that include counseling and/psychological testing and assessment services.
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The Open Door Program does not apply to missed or late canceled appointment charges.
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How much will I pay if I am approved by the program?
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The charge per visit will be determined by the household income and size. Extenuating circumstance will be considered. Clients will be informed of the details of their financial responsibility for services rendered. Payment is due at the time of the service.
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Who should I contact if I have more questions?
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Please contact our office at, 630-693-7934.
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