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 and dental 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 and provide proof of income.
In order to qualify for our sliding fee scale, you will need to complete a Sliding Fee Application and provide proof of income.
The Enrollment Process
Download the application form or pick up one up at any of our locations.
To download the form, click here.
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.
The following are accepted forms of proof of income:
W-2, TAX FORMS
CHECK STUBS
BANK STATEMENTS
LETTER FROM EMPLOYER
Mail the application and copies of your proof of income (as listed above and on page 2 of the application) 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 will be mailed to you.
Questions may be emailed to: sliding.fee@ccwv.org
To download the form, click here.
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.
The following are accepted forms of proof of income:
W-2, TAX FORMS
CHECK STUBS
BANK STATEMENTS
LETTER FROM EMPLOYER
Mail the application and copies of your proof of income (as listed above and on page 2 of the application) 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 will be mailed to you.
Questions may be emailed to: sliding.fee@ccwv.org
