Do You Qualify for the Sliding Fee Scale?

If you are worried that you may not be able to pay for your medical treatment, it is important that you let us know as soon as possible. We may be able to help.

As a resident of the North Shore-LIJ service area (Long Island and NYC), you may be eligible to enroll into our Sliding Fee Scale Program where you can receive routine medical care at a low cost. Eligibility for the Sliding Fee Scale Program is based on your household income and family size.

Eligibility

To determine whether or not you may be eligible, consult the table below to see if your family falls below the maximum yearly income.

Family Size Maximum Yearly Income
1 $55,850
2 $75,650
3 $95,450
4 $115,250
5 $135,050
6 $154,850
7 $174,650
8 $194,450
9 $214,250
10 $234,050
11 $253,850
12 $273,650

Restrictions

The following items are NOT covered under the Sliding Fee Scale Program:

  • Prescriptions
  • Co-pays
  • Co-insurance
  • Deductibles
  • Personal items (e.g., telephone, private room differential, guest meals, etc.)

Apply for a Sliding Fee Scale

To apply for a Sliding Fee Scale, please contact us at one of our conveniently located Ambulatory Care Centers.

Appointments are available Monday - Saturday.

Queens County 

Long Island Jewish Medical Center
270-05 76th Avenue, First Floor
New Hyde Park, NY 11040

Adult Medicine 

718-470-4400

Obstetrics/Gynecology

718-470-4400

Family Planning

718-470-4400

Forest Hills Hospital
102-01 66th Road, Second Floor
Forest Hills, NY 11375

Adult Medicine
Obstetrics/Gynecology

718-830-4770 or 718-830-4771

Nassau County

North Shore University Hospital at The Irving Goldman Family Care Center
865 Northern Boulevard, First Floor
Great Neck, NY 11021

Adult Medicine 

516-622-5001

Obstetrics/Gynecology

516-622-5148

Glen Cove Hospital
101 Andrews Lane, Family Practice Unit
Glen Cove, NY 11542

Adult Medicine
Obstetrics/Gynecology
Pediatrics Family Planning

516-674-7631

Steven and Alexandra Cohen Children's Medical Center of New York
410 Lakeville Road, Suite 108
New Hyde Park, NY 11040
General Pediatrics 516-465-4377
Adolescent Medicine 516-465-3270
 

Suffolk County 

Huntington Hospital/Dolan Family Health Center
270 Park Avenue
Huntington, NY 11743

Adult Medicine

631-425-5247

Obstetrics/Gynecology

631-425-5245

Pediatrics

631-425-3105

Family Planning

631-425-5250

Richmond County

Staten Island University Hospital
242 Mason Avenue 
Staten Island, NY 10309

Adult Medicine

 

718-226-6494

Womens Health Center 
440 Seaview Avenue
Staten Island, NY 10305

Obstetrics - Gynecology
Family Planning

718-229-6550

Bay Street Health Center
57 Bay St.
Staten Island, NY10301

Adult Medicine
Obstetrics/Gynecology
Family Planning

718-226-6700

Pediatrics

718-226-6107

Staten Island University Hospital South Site
375 Seguine Avenue
Staten Island, NY 10309 

Adult Medicine
Obstetrics/Gynecology
Family Planning 

718-226-2051

 

For more information, call us at (866) 381-1931 or fill out our Contact Us form.

Last Update

June 8, 2012
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