Payment & Coverage Options
At Heartland Health Center, we believe cost should never stand between you and the care you need. That’s why we offer a variety of financial options to make high-quality healthcare accessible for everyone — including insured, uninsured, and underinsured patients.
Whether you have private insurance, Medicaid, or Medicare, or you’re seeking care through our Sliding Fee Discount Program, our team is here to help you understand your options and keep your care affordable.
Sliding Fee Discount Program
At Heartland Health Center, we believe everyone deserves great care — no matter their financial situation. Our Sliding Fee Discount Program helps make healthcare affordable by lowering the cost of medical, dental, and behavioral health services based on your household size and income.
Eligibility is determined using federal poverty guidelines, and discounts range from small copays to significant reductions in service fees. The program is available to both insured and uninsured patients.
Our goal is simple: to make high-quality, comprehensive care accessible to every individual and family in our community — because cost should never stand between you and your health.
Sliding Fee Program Chart
Figures below are based on a family of four. Income guidelines change as the number of individuals in the household changes.
| Program Discount Level | Percentage of Federal Poverty | Household Income | Medical and Behavioral Nominal Fee | Dental Fee (Based on Procedure) |
|---|---|---|---|---|
| Slide 1 | 1 – 100% | $0 – $33,000 | $35 | Based on Procedure |
| Slide 2 | 101 – 125% | $33,001 – $41,250 | $50 | 40% |
| Slide 3 | 126 – 150% | $41,251 – $49,500 | $55 | 55% |
| Slide 4 | 151 – 175% | $49,501 – $57,750 | $60 | 70% |
| Slide 5 | 176 – 200% | $57,751 – $66,000 | $65 | 85% |
| Full Fee | 201% and above | $66,001 and above | Full rate | Full rate |
Insurance
Heartland Health Center accepts a wide range of insurance plans to make care accessible and affordable for everyone in our community. We work with most private and employer-sponsored health insurance providers, as well as Medicaid and Medicare.
For patients who are uninsured or underinsured, our Sliding Fee Discount Program helps reduce the cost of care based on household income and family size — ensuring that no one is ever turned away because of cost.
If you have questions about accepted insurance plans or eligibility, our team is happy to help you understand your options and make the most of your coverage.
Medicaid
As a Federally Qualified Health Center, Heartland Health Center proudly serves as a trusted healthcare provider for Nebraska Medicaid members. We accept all Nebraska Medicaid plans, including Managed Care Organizations (MCOs), to ensure that patients have access to comprehensive, high-quality care.
Medicaid covers a wide range of services — including primary care, behavioral health, preventive screenings, vaccinations, prenatal care, and some dental services — often at little or no cost to the patient.
Not sure if you qualify? Our Outreach and Enrollment team is here to help. We can assist you with applying for Medicaid, renewing your coverage, and understanding your benefits so you can make the most of your plan and stay connected to the care you need.
Medicare
Heartland Health Center proudly provides care for Medicare beneficiaries — including adults aged 65 and older, as well as individuals with qualifying disabilities.
Medicare helps cover a variety of important health services, such as primary care visits, chronic disease management, annual wellness exams, preventive screenings, and behavioral health care.
Our care team works closely with each patient to coordinate services, manage ongoing health needs, and make sure you get the most from your Medicare coverage.
Uninsured / Underinsured / Self-Pay
If you don’t have health insurance — or your coverage doesn’t fully meet your needs — Heartland Health Center is still here for you.
We offer a Sliding Fee Discount Program that lowers the cost of visits, procedures, and services based on your household income and family size. Many patients qualify for reduced fees, making high-quality care affordable and accessible for everyone.
Good Faith Estimate
At Heartland Health Center, transparency matters. We want every patient to understand the cost of their care before receiving services.
A Good Faith Estimate (GFE) provides an overview of the expected charges for your visit — including office appointments, lab work, procedures, dental care, or behavioral health services. These estimates are offered in accordance with the No Surprises Act and are available to uninsured patients or those who choose not to use insurance.
Your GFE includes both standard charges and any potential discounts if you qualify for our Sliding Fee Discount Program. While the estimate is not a bill, it helps you plan for your care and avoid unexpected costs — because peace of mind is part of good healthcare.
Contact our team to learn more or apply for any of our Financial Services.
