Financial Assistance Program

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FINANCIAL ASSISTANCE PROGRAM

Financial Assistance Program

Family Care Center is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care based on their household financial situation. Consistent with its mission to deliver access to care with the greatest positive impact, Family Care Center strives to ensure that the financial ability of people who need health care services does not prevent them from seeking or receiving care.

Qualifications for many assistance programs require applicants to meet federal poverty income guidelines based on their Federal Poverty Level. Eligibility for financial assistance depends upon family size, income, and the age of the applicant. Please see links to our financial assistance application below.

A copy of our Financial Assistance Application is available below. It can also be obtained by calling Customer Service at (719) 540-2119, or at any of our clinic locations.

financial hardship application
Please print, fill out, and bring into the clinic of your scheduled appointment or download the document, fill out, and email to: PatientPayments@fccsprings.com
out of pocket cost
cost of care
price transparency