Capstone Rural Health Center is a participant in HRSA’s 340B Drug Pricing Program and can reduce the burden of medication cost for
our uninsured patients. Capstone Pharmacy patients are offered medication counseling at each visit and should feel free to ask
the Pharmacist any questions concerning their medication(s).
What to Bring
- Valid Photo ID
- Proof of Insurance (Insurance Card)
- Copayment / Nominal Fee
Sliding Fee Discount Program
If you do not have insurance, the following must be on-file to receive the Sliding Fee Discount for medications.
- Proof of Income*
- Family Size*
*Proof of Income includes: 3 Most Current Paystubs, Tax Return, Pension, Retirement, Social Security Income, Disability Income, Child
Support, Alimony, Workers Compensation Payments, Unemployment Compensation, Supplemental Security Income, Public Assistance, Veteran’s
Payments, Survivors Benefits, Dividends, Rents, Royalties, Income from Estates, Trusts, Educational Assistance, and any assistance
from outside the household or other miscellaneous sources. This is for all family members living in the household.
*Family Size: Number of all family members living in the household.
As a Federally Qualified Health Center, Capstone Rural Health Center provides a Sliding Fee Discount Program for all patients that
are uninsured or underinsured and whose total household gross income falls at or below 200% of the federal poverty guidelines.
The sliding fee discount is used to calculate the basic discount and is updated each year using the federal poverty guidelines.
The sliding fee discount applies only to services provided by Capstone Providers. Patients with third party insurances, that does
not cover or only partially covers fees for certain Capstone services, may also be eligible for the sliding fee discount in accordance
with laws and regulations of the third-party payor contracts.
Patients must provide updated information for the Sliding Fee Discount Program every January.