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 in 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 | $57,450 |
| 2 | $77,550 |
| 3 | $97,650 |
| 4 | $117,750 |
| 5 | $137,850 |
| 6 | $157,950 |
| 7 | $178,050 |
| 8 | $198,150 |
| 9 | $218,250 |
| 10 | $238,350 |
| 11 | $258,450 |
| 12 | $278,550 |
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.
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Queens County |
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Long Island Jewish Medical Center |
Adult Medicine |
718-470-4400 |
| Obstetrics/Gynecology |
718-470-4400 |
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| Family Planning |
718-470-4400 |
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Steven and Alexandra Cohen Children's Medical Center of New York |
Pediatrics |
718-465-4377 |
| Adolescent |
718-465-3270 |
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Forest Hills Hospital |
Adult Medicine Obstetrics/Gynecology |
718-830-4770 or 718-830-4771 |
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Nassau County |
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North Shore University Hospital at The Irving Goldman Family Care Center |
Adult Medicine |
516-622-5001 |
| Obstetrics/Gynecology |
516-622-5148 |
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Glen Cove Hospital |
Adult Medicine Obstetrics/Gynecology Pediatrics Family Planning |
516-674-7631 |
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Suffolk County |
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Huntington Hospital/Dolan Family Health Center |
Adult Medicine |
631-425-5247 |
| Obstetrics/Gynecology |
631-425-5245 |
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| Pediatrics |
631-425-3105 |
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| Family Planning |
631-425-5250 |
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Richmond County |
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Staten Island University Hospital |
Adult Medicine
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718-226-6494 |
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Womens Health Center |
Obstetrics - Gynecology |
718-229-6550 |
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Bay Street Health Center |
Adult Medicine |
718-226-6700 |
| Pediatrics |
718-226-6107 |
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Staten Island University Hospital South Site |
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
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