Programs

Programs for uninsured patients :

WHN offers many low-cost and free programs topatient_chart

meet the health care needs of our uninsured and

under-insured patients. To learn more about our

programs, please choose from the list below.

 

 

 

 

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Sliding Fee Scale

WHN offers a Sliding Fee Scale discount to our uninsured patients.Eligibility for this program is determined by your household income and the number of dependents living with you. You must complete a Sliding Fee Scale application which will determine if you qualify for a 25%, 50%, or 75% discount on our services

LEVEL A
(< 100%)
LEVEL B
(101% – 149%)
LEVEL C
(150% – 174%)
LEVEL D
(175% – 199%)
LEVEL E
(200%)
Family
Size *
Income
Presented
Less than
Minimum
Maximum
Minimum
Maximum
Minimum
Maximum
Minimum
1
Annual
$11,170.00
$11,171.00
$16,643.61
$16,644.61
$19,435.59
$19,436.59
$22,228.61
$22,229.61
2
Annual
$15,130.00
$15,131.00
$22,543.39
$22,544.39
$26,326.41
$26,327.41
$30,108.39
$30,109.39
3
Annual
$19,090.00
$19,091.00
$28,443.16
$28,444.16
$33,216.18
$33,217.18
$37,989.20
$37,990.20
4
Annual
$23,050.00
$23,051.00
$34,345.02
$34,346.02
$40,107.00
$40,108.00
$45,870.02
$45,871.02
5
Annual
$27,010.00
$27,011.00
$40,244.79
$40,245.79
$46,997.82
$46,998.82
$53,749.80
$53,750.80
6
Annual
$30,970.00
$30,971.00
$46,145.61
$46,146.61
$53,887.59
$53,888.59
$61,630.61
$61,631.61
7
Annual
$34,930.00
$34,931.00
$52,045.39
$52,046.39
$60,778.41
$60,779.41
$69,510.39
$69,511.39
8
Annual
$38,890.00
$38,891.00
$57,946.21
$57,947.21
$67,668.18
$67,669.18
$77,391.21
$77,392.21
Patient Pays
$20.00
25%
50%
75%
100.0%
Updated 1-31-12

* Add $3,960 for each  additional person
HOW TO USE THIS SCALE:

  1. Determine the number of members in a Family Unit.
  2. Determine ALL income supporting the family + ALL sources of income (i.e., paystubs, alimony, social security, retirement, etc.)
  3. Find the number of family members in Column 1 (“Size of Family Unit”).
  4. Determine the range in which the patient’s “Family Income” falls.
  5. The column in which the patient’s “Family Income” falls indicates the percentage of Sliding Fee Scale discount.

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Medication Assistance

Adult patients who qualify for the Sliding Fee Scale may apply for free or reduced-cost medications through the Assisted Medication Program (AMP). You must complete an AMP application for each medication. You must submit proof of household income with each application. Examples of acceptable documents are prior year W-2’s, last three paycheck stubs, or disability checks. If approved, your medication(s) should arrive within 6-8 weeks. It is your responsibility to call your provider and request a refill 4 weeks before you are out of medicine. WHN cannot guarantee that you will meet the drug company’s rules or that your medication(s) are available through AMP. Please note: It is the strict policy of the WHN not to allow narcotic medications to be ordered through the AMP program.

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Women’s Health Programs

Prenatal Program – Countyline FHC
The prenatal clinic at Countyline FHC provides affordable care for pregnant patients who are uninsured, underinsured, or on Medicaid. We meet the needs of our prenatal patients by providing regular check-ups, ultrasound, lab work, health education, and postpartum care. WHN does not deliver our prenatal patients, but instead partners with Southside OBYN at St. Francis Hospital and the IU Family Medicine Residency Program at Methodist Hospital to deliver our prenatal patients.

Countyline FHC is also a Presumptive Eligibility site and we can help eligible prenatal patients apply for Hoosier Healthwise and WIC to ensure a healthy start for you and your baby.

Hoosier Healthwise
Hoosier Healthwise is Indiana’s health care program for low-income, uninsured families, children, and pregnant women. Services covered include doctor visits, eye and dental care, prescriptions, mental health services, family planning, and more. Eligibility is determined by your household income and your family size. There are 3 health care packages available to uninsured pregnant women: Package A (full coverage), Package B (pregnancy-related coverage), and Package E (emergency only).

If you or any members of your family are uninsured and answer yes to any of the questions below, you may qualify for free or reduced-cost services through Hoosier Healthwise.

Are you pregnant?

Do you have uninsured children under the age of 19?

Do your children qualify for free/reduced lunch?

Is your family’s gross monthly income at or below:

Low-Income Families
Pregnant Women
Children
Family Size
Income Presented
(Package A)
Pregnancy-related coverage
(Package B)
Full Coverage (Package A)
Premium-free (Package A)
Low-Cost Premiums (Package C)
1
Monthly
$139.50
*Not applicable
*Not applicable
$1,277
$1,702
2
Monthly
$229.50
$1,712
$229.50
$1,712
$2,282
3
Monthly
$288.00
$2,147
$288.00
$2,147
$2,862
4
Monthly
$346.50
$2,582
$346.50
$2,582
$3,442
5
Monthly
$405.00
$3,017
$405.00
$3,017
$4,022
For each additional member add:
Monthly
$58.50
$435
$58.50
$435
$580
Updated 8/1/07

*A pregnant woman and her unborn child count as a family size of 2

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Breast and Cervical Cancer Program (BCCP)
The BCCP is a public health program that provides women’s health services to low-income, uninsured or underinsured older women. Eligibility is determined by age, household size, and household income. Services include clinical breast exams, mammograms, pap and pelvic exams, colposcopies, biopsies, and more. For more information, please contact a Benefit Advocate by e-mail at jjacobs@windrosehealth.net or visit the BCCP website at http://www.in.gov/isdh/programs/bccp/index.htm.

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Children’s Health Programs

Hoosier Healthwise
Hoosier Healthwise is Indiana’s health care program for low-income, uninsured families, children, and pregnant women. Services covered include doctor visits, eye and dental care, prescriptions, mental health services, family planning, and more. Eligibility is determined by your household income and your family size. There are 3 health care packages available to uninsured families and children: Package A (full coverage), Package C (full coverage with premiums), and Package E (emergency only). See Hoosier Healthwise eligibility chart for more information.

To be considered for coverage, you must submit a completed Hoosier Healthwise application and income proof to your local Division of Family Resources. If you have questions or would like help applying for Hoosier Healthwise, please contact a Benefit Advocate at (317) 474-0148 or email jjacobs@windrosehealth.net. A Benefit Advocate will respond within 24-48 hours.

Vaccines for Children (VFC)
The VFC program provides free immunizations for children who are uninsured or on Medicaid. The VFC program may also help children whose insurance does not cover vaccinations. All VFC vaccines are free, however, there is a $5 administration fee for each vaccination. Please remember: you must bring your child’s shot records to the office visit. See the Center for Disease Control’srecommended childhood immunization schedule.

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Behavioral Health

Behavioral Health Services
WHN offers behavioral health services to people of all ages at its Countyline FHC, Hope FHC, and Heartfelt Health Alliance locations. Services include assessment, individual and family counseling, early intervention/prevention services, and medication management. A licensed mental health provider is available at these three WHN Health Centers for patients in need of counseling, crisis intervention, and/or short-term psychotherapy.

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Diabetes Programs

ECCO Eye Care
ECCO is a program offered through Indiana University of Optometry to provide individuals access to vision health care services. Low-income, uninsured residents of Marion, Hendricks, Boone, Hamilton, Hancock, Morgan, Johnson, and Shelby Counties may be eligible for consultations, eye exams, and treatment for eye diseases such as cataracts, glaucoma, macular degeneration, etc. For more information, please contact Kelli Barker, Program Coordinator, by phone 317-321-1424 or e-mail at kelebark@iupui.edu.

Diabetes Education
All patients diagnosed with Diabetes Mellitus Type I or II and/or family members are welcome to schedule an appointment with our trained nurses to learn about diabetes. Education includes information about the disease, proper diabetes care, nutrition and exercise, and more. To schedule an appointment, please call Trafalgar Family Health Center at (317) 878-2301.

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Other Programs

Little Red Door
The Little Red Door Cancer Agency provides health services to Central Indiana residents who are uninsured, underserved and medically indigent persons with cancer. Services are free of charge and include screenings to detect breast, oral, prostate, cervical and colon cancer, ultrasounds and biopsies to further detect the possibility of a malignancy after a cancer screening has been performed, medical supplies, prosthesis, wigs, support groups, and transportation to and from treatment and follow-up appointments. For more information, please visit Little Red Door’s website at http://www.littlereddoor.org.