Insurance & Sliding Scale Fee

Access to Care for Everyone

Macoupin County Public Health Department believes everyone deserves access to comprehensive, high-quality healthcare. Our providers and staff proudly serve Macoupin County and surrounding communities by focusing on prevention, early treatment, and lifelong wellness.

As a Federal Quality Health Center, our clinics offer preventive, medical, dental, behavioral health, and substance use recovery care for individuals at every stage of life - from newborns to seniors - regardless of insurance status. Whether you need routine care, help managing a condition, or support staying healthy, we’re here for you.

Insurance We Accept

• Most Private Health Insurance Plans
• Work (employer-sponsored) Insurance
• Traditional Illinois Medicaid
• Medicare
• Aetna Better Health of IL 
• Youthcare
• Meridian
• Molina
• Envolve
• Liberty
• DentaQuest
• Blue Cross Community Family Health Plan
• TRICARE

Sliding Scale Fees as Low as $30

For those who don’t have insurance or are underinsured and have high out-of-pocket payments, Macoupin County Public Health offers a sliding discount fee schedule to help you access care without the high cost. Use the table below to find the amount you will be responsible for based off your family’s size and income.

2026 Dental/Medical/Behavioral Health Sliding Discount Fee Schedule
Family Size	Level 1	Level 2	Level 3	Level 4	Level 5	Full Fee, No Discount
1	$0 - $15,960	$15,961 - $19,950	$19,951 - $23,940	$23,941 - $27,930	$27,931 - $31,920	> $31,920
2	$0 - $21,640	$21,641 - $27,050	$27,051 - $32,460	$32,461 - $37,870	$37,871 - $43,280	>$43,280
3	$0 - $27,320	$27,321 - $34,150	$34,151 -$40,980	$40,981 - $47,810	$47,811 - $54,640	>$54,640
4	$0 - $33,000	$33,001 - $41,250	$41,251 - $49,500	$49,501 - $57,750	$57,751 - $66,000	>$66,000
5	$0 - $38,680	$38,681 - $48,350	$48,351 - $58,020	$58,021 - $67,690	$67,691 - $77,360	>$77,360
6	$0 - $44,360	$44,361 - $55,450	$55,451 - $66,540	$66,541 - $77,630	$77,631 - $88,720	>$88,720
7	$0 - $50,040	$50,041 - $62,550	$62,551 - $75,060	$75,061 - $87,570	$87,571 - $100,080	>$100,080
8	$0 - $55,720	$55,721 - $69,650	$69,651 - $83,580	$83,581 - $97,510	$97,511 - $111,440	>$111,440
	$30 Minimum Due	$35 Minimum Due	$40 Minimum Due	$45 Minimum Due	$50 Minimum Due	*See Prompt Pay Policy

 **For Families /Family Units more than 8 persons, for each additional person add:   $5,680.00 to gross annual income, $473.33 to monthly income, or $109.23 to weekly income

 

ACCEPTABLE FORMS OF PROOF OF INCOME

1. Two or more months of the most recent pay stubs
2. Federal Tax Return for the previous year
3. Other income records
   a.   Employment Verification Statement
   b.   Verification of Unemployment
   c.   Disability Insurance Award Letter
   d.   Zero Income Affidavit – Verified and approved by CEO, CFO, and COO
   e.   Social Security Benefit Letter
   f.    Social Security Administration (SSA) 1099 Form
   g.   Social Security Cost of Living Adjustment Letter
   h.   Most recent W-2’s
   i.    SNAP benefit statement
   j.    Other income records as approved by the CFO

PROMPT PAY Policy

Macoupin Community Health Centers offer a Prompt Pay incentive for patients who do not qualify for the Sliding Fee Discount.
The policy follows the guidelines below:

• Patients must pay $75 on the day of service and will receive a same-day service adjustment.

• For patients with third-party insurance, the discount is applied after insurance payments are made.

• Patients must self-attest to their income and household size if their annual household gross income is above federal poverty guidelines.

• Patients are not required to provide proof of income if their annual household gross income is above the federal poverty level guidelines.

• Additional charges apply to non-covered services and will be disclosed in a separate contract agreement form.

• If a contract is on file, the estimated patient-owed amount from the insurance company must be paid at the time of service.

• If the insurance out-of-pocket cost is different from the contracted amount, patients will either owe the difference or receive a refund on their account.

Interested in getting health insurance coverage? One simple way is to review plans and enroll in health insurance through the Get Covered Illinois Marketplace, the official health insurance exchange for Illinois residents. Open enrollment typically runs from November 1 through January 15 each year. During this time, you can compare plans, see if you qualify for financial assistance, and enroll in coverage for the coming year.

If you experience certain life changes—such as losing other coverage, moving, getting married, or having a baby—you may qualify for a Special Enrollment Period (SEP). In most cases, you’ll have 60 days from the qualifying event to enroll in a plan. Documentation may be required to confirm eligibility.

To explore your options or apply for coverage, visit GetCoveredIllinois.gov. You can also schedule an appointment with one of our skilled insurance navigators for help understanding your choices and completing your enrollment. Call us today at 217-930-2298 or email [email protected].