816.753.5144

Patients

Paying For Your Care

KC CARE promotes health and wellness by providing high-quality care. We provide services to ALL in our community whether you have insurance, do not have insurance, or have Medicaid or Medicare.

Pay Your Bill

If you have insurance, you will pay the co-pays and deductibles according to your insurance policy. We accept almost all major insurance plans, including Medicare and Medicaid.

If the co-pay is difficult for you to pay, please ask for the Financial Counselor to make arrangements.

We strive to give affordable healthcare to everyone using a sliding fee scale that is based on your income and household size. The fees are outlined below based on income and services (medical, behavioral health, and dental).

*If you are unable to pay the full charges, you will work with the Financial Counselor to make arrangements.

Income as % of FPL 0% to 100% 101% to 138% 139% to 166% 167% to 200% Over 200%
Medical Fee $15 $20 $25 $30 Full charges, with discounts on a case by case basis.*
Behavioral Health Fee $15 $20 $25 $30
Dental Fee $25 $30 $35 $40

Federal Poverty Level (FPL) is determined by the Department of Health and Human Services, based on household income and size of household. Figures listed below are for 2018 FPL.

Household Size: 0% to 100% 101% to 138% 139% to 166% 167% to 200% Over 200%
1 Up to $12,140 $12,141 - $16,874 $16,875 - $20,274 $20,275 - $24,401 $24,402 and up
2 Up to $16,460 $16,461 - $22,879 $22,880 - $27,488 $27,489- $33,085 $33,086 and up
3 Up to $20,780 $20,781 - $28,884 $28,885 - $34,702 $34,703 - $41,768 $41,769 and up
4 Up to $25,100 $25,101 - $34,889 $34,890 - $41,917 $41,918 - $50,451 $50,452 and up
5 Up to $29,420 $29,421 - $40,894 $40,895 - $49,131 $49,132 - $59,134 $59,135 and up
6 Up to $33,740 $33,741 - $46,898 $45,899 - $56,345 $56,346 - $67,814 $67,815 and up

How do I verify my income?

To verify your income, we ask you to provide:

Current Proof of Income – You must bring one of the following

  • Current Payroll Check Stub. If the check stub is handwritten or does not display hours worked or hourly rate, please provide a notarized letter (on company letterhead if possible) from your employer stating: Your work hours, gross pay and hourly rate of pay.
  • Current Unemployment Determination letter with benefit amount from the Unemployment Office (Phone MO 816/889-3101 or KS 913/596-3500 and give Social Security information to file claim).
  • Copies of your current Social Security, Pension, Trust, SSI Disability Award Letter or Child Support Check
  •  Current Financial Aid papers (scholarships, Pell Grants, I-20 documentation, etc.)
  •  Tax profit and loss sheet for the year
  •  W2 forms

Current Proof of Address/Residency – You must bring one of the following

  • Current Mail addressed to you or your spouse. The mail should include a postmark on the outside of the envelope that is less than 30 days old. If necessary, mail yourself something. Unfortunately, we cannot accept mail sent to a PO Box.
  • Mail with the unemployment determination letter can also be used.

You can complete the Sliding Fees Scale Application online. To submit required documents only, fill out our Patient Information Document Upload Form.

If you are unable to pay the full charges, you will work with the Financial Counselor to make arrangements.

Ryan White Patients

We strive to give affordable healthcare to everyone using a sliding fee scale that is based on income. The fees are outlined below based on income and services (medical, behavioral health, and dental).

You can complete the Sliding Fees Scale Application online. To submit required documents only, fill out our Patient Information Document Upload Form.

*If you are unable to pay the full charges, you will work with the Financial Counselor to make arrangements.

Income as % of FPL 0% to 100% 101% to 138% 139% to 166% 167% to 200% Over 200%
Medical Fee None $15 $20 $25 Full charges, with discounts on a case by case basis.*
Behavioral Health Fee None $15 $20 $25
Dental Fee None $25 $30 $35

Federal Poverty Level (FPL) is determined by the Department of Health and Human Services, based on household income and size of household. Figures listed below are for 2018 FPL.

Household Size: 0% to 100% 101% to 138% 139% to 166% 167% to 200% Over 200%
1 Up to $12,140 $12,141 - $16,874 $16,875 - $20,274 $20,275 - $24,401 $24,402 and up
2 Up to $16,460 $16,461 - $22,879 $22,880 - $27,488 $27,489- $33,085 $33,086 and up
3 Up to $20,780 $20,781 - $28,884 $28,885 - $34,702 $34,703 - $41,768 $41,769 and up
4 Up to $25,100 $25,101 - $34,889 $34,890 - $41,917 $41,918 - $50,451 $50,452 and up
5 Up to $29,420 $29,421 - $40,894 $40,895 - $49,131 $49,132 - $59,134 $59,135 and up
6 Up to $33,740 $33,741 - $46,898 $45,899 - $56,345 $56,346 - $67,814 $67,815 and up

The law limits the annual cumulative charges to an individual for HIV-related services to:

Individual Income: Maximum Annual Charge:
0 to $12,140 $0
More than $12,140 and less than $16,874 No more than 5% of gross annual income
More than $16,874 and less than $20,274 No more than 7% of gross annual income
More than $20,274 No more than 10% of gross annual income

Fill in the information below to calculate what your annual Cap:

Annual Gross Income $ Your Individual Income x % Charge from Table above % = $______________

Make sure to track your out-of-pocket expenses. A table that will help you keep track of these expenses can be found here. Qualifying expenses can be things like:

Physician Office Visits Mental Health and Substance Abuse Counseling Dental Care Ophthalmology Care Dermatology Care Prescriptions Over the Counter Medications Medical Insurance Premiums and Copays

If you reach your Payment Cap, contact your HIV Case Manager. KC CARE will not charge you for any additional services we provide for the rest of the year. This form has to be updated and submitted each year.

Click here to fill out the form.

If your HIV Case Manager is not at KC CARE or you have questions, you should contact the Financial Counselor at 816-777-2703.

 

How to Pay

When is payment due?

Payment is due when you check in for your appointment. If you are unable to pay at that time, you will receive a statement in the mail.

How can I make my payments?

You can pay with cash, check, or major credit cards. You can pay online here, at the front desk or by mailing a check. Checks should be made out to KC CARE and mailed to 3515 Broadway, Kansas City, MO 64111.

Do these costs apply to ALL your services?

Fees and co-pays apply to most services. For services where there is no fee or that insurance does not cover, we ask you to make a donation. Non-Billable services include:

  • Blood Pressure Only check
  • Case Management
  • Chronic Care Visits with the Clinical Pharmacist
  • Clinical Trials
  • HIV Rapid Testing / CLEAR Intervention Visits
  • HIV PEER Visits
  • Needle Exchange

Our Financial Counselor can help you explore other forms of assistance that may be available to you.