Sliding Fee Program
Community Care of West Virginia offers a sliding fee scale program for people who are uninsured or under-insured. The sliding fee scale is based on your family size and income. This fee scale allows you and your family to pay a reduced fee for covered medical services at Community Care of West Virginia locations.
In order to qualify for our sliding fee scale, you will need to complete a Sliding Fee Application, provide proof of income and obtain a Medicaid denial letter from the local DHHR office.
The Enrollment Process
Download the application form or pick up one up at any of our locations. You must submit a Dental Sliding Fee Form for dental services. For medical services, please submit the standard Sliding Fee Application.
Complete the application form by completing ALL questions on the first page of the form. Be sure to include information for EACH person living in the household.
Mail the application, a copy of your proof of income (as listed on page 2) to:
Community Care of WV
PO Box 217
Rock Cave, WV 26234
or drop it off at any of our locations. Once the application is processed and approved, a letter of approval and a Sliding Fee card will be mailed to you.
To download Sliding Fee forms, click here for the (Medical) Sliding Fee Form and here for the (Dental) Sliding Fee Form