Sliding Fee Scale

At Ohio Hills, we offer a Sliding Fee Scale. If you qualify, services will not be denied due to your inability to pay.

Sliding Fee Discount Program

Ohio Hills Health Services receives funds from the Health Resources Services Administration to provide health services on a sliding fee scale based on household income and family size.

Ohio Hills Health Services accepts all patients, regardless of their insurance status or ability to pay. We are a Federally Qualified Health Center (FQHC), which means we can offer a wide variety of services through the Sliding Fee Discount Program.

To apply for our Sliding Fee Discount Program, you may print and complete the sliding fee scale discount program application form by clicking on the following link. Click here.

To qualify for the Sliding Fee Discount Program:

  • List all members in the household: Household is defined as anyone living within the same house and includes but not limited: Spouses, Boyfriends, Girlfriends, Children (natural, adoptive, step, or legal ward and/or those who are considered a disabled dependent), Siblings (natural, adoptive, step or legal and/or those who are considered a disabled dependent), Parents (natural, adoptive, step, or legal guardians) and/or friends. When there are households with shared custody of children, the children can only be listed within one household and that should be the household recognized as the financially responsible party for the children’s medical bills.
  • Household income: Household income is defined as all gross income of any household member listed on the application. You must provide income verification on all listed household members listed or your application cannot be processed. Accepted forms of income verification: Current Tax Documentation, Self-Employment Ledger, Stipends, Child Support Payments, Welfare Payments, 3 Current Pay Stubs, Pension Payments, Investment Income, Proof of No Income (Self-Attestation Letter), Worker’s Compensation, Current W-2 Forms, Unemployment Benefits Award Letter, Foreign Income, Income Award/Benefit Letter, Copy of Check received, Royalty or Lease Income, Social Security (SSI, Disability, Retirement), Capital Gains, Alimony, Veterans Benefits, Cash Support, Rental Income, Grants/Scholarships for living expenses, Income from Estates or a Letter from Employer.

All household members must be listed on the application and all household income must be included. Accepted forms of gross annual income (before taxes) for all household members listed on the application must be accompanied with the completed application. Please read the directions carefully and send the completed form and the required proof of household to:

Ohio Hills Health Services
101 East Main Street
Barnesville, OH 43713
Attention: Brandy Stephens, Patient Accounts Counselor

If you would like to see if you qualify for Medicaid or the Health Marketplace, you may indicate so on the application or by calling Deanna Moore, Certified Application Counselor, (740) 239-6447, ext. 1035. Application forms and information may also be obtained at any of the OHHS health centers or by calling (740) 425-OHHS (6447).