PRIMARY CARE FOR UNINSURED PATieNTS
You may be eligible for a sliding fee discount on participating services, even if you have insurance. Our sliding fee discount, which is based on your household income, is available to all patients who qualify. Please take the time to complete and sign the following sliding fee application. Your Sliding Fee Application must be completed within 30 days. If supporting documentation is not received within that time frame, you will be responsible for the full amount or submit a new application. Please be aware we require two forms of financial information for each adult in the household. If you filed a 2023 Federal Income Tax return, we are required to have a signed copy on file.
- Please submit a signed 2023 Federal Income Tax return with W-2 forms attached.
(if filing jointly, both signatures are required)
- Please also submit any pertinent schedules, such as Schedule C, D, E, or F.
- If you no longer have a copy of your taxes, you can request a return transcript by calling the IRS at 1-800-829-1040 or online at the following address: http://www.irs.gov/Individuals/Get-Transcript
Please provide a second form of income documentation for each adult in the household.
- Employment paystubs for the last four weeks
- Unemployment statement
- TANF statement
If you are not required to file a tax return, please submit two of the following documents as proof of income:
- Three recent months of consecutive bank statements showing direct deposit of income
- Annual Social Security Benefit Statement (if you do not have a benefit statement, you
can request a copy by calling Social Security at 1-800-772-1213)
For Uninsured Patients | |||||
Household Size | Income Group A | Income Group B | Income Group C | Income Group D | Income Group E |
1 – Annually | $0 – 14,580 | $14,581 – 21,870 | $21,871 – 25,515 | $25,516 – 29,160 | $29,161+ |
1 – Monthly | $0 – 1,215 | $1,216 – 1,823 | $1,824 – 2,126 | $2,127 – 2,430 | $29,161+ |
2 – Annually | $0 – $19,720 | $19,721 – $29,580 | $29,581 – $34,510 | $34,511 – $39,440 | $39,441+ |
2 – Monthly | $0 – 1,643 | $1,644 – 2,465 | $2,466 – 2,876 | $2,877 – 3,287 | $39,441+ |
3 – Annually | $0 – $24,860 | $24,861 – $37,290 | $37,291 – $43,505 | $43,506 – $49,720 | $49,721+ |
3 – Monthly | $0 – 2,072 | $2,073 – 3,108 | $3,109 – 3,6253 | $3,626 – 4,143 | $49,721+ |
4 – Annually | $0 – $30,000 | $30,001 – $45,000 | $45,001 – $52,500 | $52,501- $60,000 | $60,001+ |
4 – Monthly | $0 – $2,500 | $2,501 – 3,750 | $3,751 – 4,375 | $4,376 – 5,000 | $60,001+ |
5 – Annually | $0 – $35,140 | $35,141 – $52,710 | $52,711 – $61,495 | $61,496 – $70,280 | $70,281+ |
5 – Monthly | $0 – 2,928 | $2,929 – 4,393 | $4,394 – 5,125 | $5,126 – 5,857 | $70,281+ |
What you will pay per month* | |||||
includes | Income Group A | Income Group B | Income Group C | Income Group D | Income Group E |
Medical Tele-medicine Nutritional | $28 | $56 | $84 | $112 | $140 |
Visits unlimited for the month
DIABETES PREVENTION For Pre-Diabetics
Having pre-diabetes means your blood glucose (sugar) levels are higher than normal—but not high enough to be diagnosed as diabetes. Pre-diabetes can lead to heart disease, stroke, and type 2 diabetes, the most common form of diabetes. Pre-diabetes can often be reversed. Learn more about Prediabetes. [https://youtu.be/w0NDVI4M_Bs]
If you are prediabetic, our Diabetes Prevention Program (DPP) offers a curriculum by the Centers for Disease Control (CDC) to prevent Type 2 Diabetes. When you join Meridian’s a lifestyle change program, you’ll learn, laugh, share stories, try new things, and build new habits—all while lowering your risk of type 2 diabetes and improving your health. The course is virtual online once weekly for 6 months and then once monthly for 6 months. This program is a proven method to manage your health and Lifestyle and to ensure the sickness of “diabetes” is prevented. Once fully “diabetic”, your Body does NOT produce enough insulin for digestion anymore.
Meridian’s CDC-recognized diabetes prevention lifestyle change program can help you build healthy new habits that last a lifetime.
If you are unsure, if you are pre-diabetic, take the test https://www.cdc.gov/prediabetes/takethetest/
Give your results to your doctor or come call our office for confirmation. Once confirmed, pre-diabetic you may be eligible to enroll in the DPP program at no cost to you. It is important to reverse course if you have pre-diabetes. This course will help.
Student Education
Help Meridian Community Health Foundation raise $10,000 to support youth employment through the 2026 Mayor Marion S. Barry Summer Youth Employment Program.
This 6-week program gives DC youth ages 14 to 24 paid work experience, career exposure, leadership development, and workplace skills from June 29 to August 7, 2026.
Your donation will help us provide training, mentorship, supervision, work supplies, and a structured community health work experience for youth. We want each participant to leave the summer with stronger communication skills, better work habits, real career exposure, and confidence in their future.
Please donate today and help us invest in DC youth.