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.
If you are not insured, or if you think your insurance might not cover all of your care, you may apply for financial assistance programs by completing an application based on your income and household size. The Sliding Fee Discount Program fees are outlined below based on income and services (medical, behavioral health, and dental).
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 | $50 | $75 | $100 | $125 |
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 2023 FPL.
Household Size: | 0% to 100% | 101% to 138% | 139% to 166% | 166% to 200% | Over 200% |
---|---|---|---|---|---|
1 | $14,580 | $20,120 | $24,203 | $29,160 | No Limit |
2 | $19,720 | $27,214 | $32,735 | $39,440 | No Limit |
3 | $24,860 | $34,307 | $41,268 | $49,720 | No Limit |
4 | $30,000 | $41,400 | $49,800 | $60,000 | No Limit |
5 | $35,140 | $48,493 | $58,332 | $70,280 | No Limit |
6 | $40,280 | $55,586 | $66,865 | $80,560 | No Limit |
To apply for our payment assistance programs, you will be required to verify your income. To verify your income, we ask you to provide one of the following:
If you qualify and funding is available, part of your care may be funded by the City of Kansas City, Missouri. To qualify, individuals must be a resident of Kansas City, Mo., be uninsured, and earn an income below 400% of the federal poverty level. To verify your residency, please provide one of the following:
Drop off your information at any KC CARE location during business hours or at the time of your appointment.
For questions about financial assistance programs, contact our Billing Specialist at 816-777-2727.
If you are not insured, or if you think your insurance might not cover all of your care, you may apply for financial assistance programs by completing an application based on your income and household size. The Sliding Fee Discount Program fees are outlined below based on income and services (medical, behavioral health, and dental).
Income as % of FPL | 0% to 100% | 101% to 138% | 139% to 166% | 167% to 200% | Over 200% |
---|---|---|---|---|---|
Medical Fee | None | $20 | $25 | $30 | Full charges, with discounts on a case by case basis.* |
Behavioral Health Fee | None | $20 | $25 | $30 | |
Dental Fee | None | $75 | $100 | $125 |
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 2023 FPL.
Household Size: | 0% to 100% | 101% to 138% | 138% to 166% | 166% to 200% | Over 200% |
---|---|---|---|---|---|
1 | $14,580 | $20,120 | $24,203 | $29,160 | No Limit |
2 | $19,720 | $27,214 | $32,735 | $39,440 | No Limit |
3 | $24,860 | $34,307 | $41,268 | $49,720 | No Limit |
4 | $30,000 | $41,400 | $49,800 | $60,000 | No Limit |
5 | $35,140 | $48,493 | $58,332 | $70,280 | No Limit |
6 | $40,280 | $55,586 | $66,865 | $80,560 | No Limit |
The law limits the annual cumulative charges to an individual for HIV-related services to:
Individual Income: | Maximum Annual Charge: |
---|---|
0 to $14,580 | 0% |
More than $14,580 and less than $29,160 | No more than 5% of gross annual income |
More than $29,160 and less than $43,740 | No more than 7% of gross annual income |
More than $43,740 | 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.
KC CARE’s Health Insurance Navigators can help you understand and apply for coverage. Services are always free. For more information, visit kccare.org/navigators.
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.
Fees and co-pays apply to most services. Non-Billable services include:
If you do not qualify for payment assistance programs and are uninsured, you can take advantage of our same-day discounts, which are $125 for medical and behavioral health, and $150 for dental.