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Borinquen Medical Centers of Miami Dade

Payment Options

Borinquen Medical Centers of Miami-Dade, a non-for-profit organization, provides high quality, affordable health care to all of Miami-Dade County. We believe that regardless of race, gender, religion or financial barriers, all residents of Miami-Dade County are entitled to health care services. No patient will be turned away because of the inability to pay.

If you are uninsured and have a low income, you may qualify for a sliding fee for your medical, dental and pharmaceutical needs. This program is intended to provide medical care for people who otherwise may be unable to see a doctor. You are expected to pay the discounted rate or minimum fee for services. If you cannot pay at the time of service, please make arrangements for payments.

For additional information, please contact our Registration Department at 305-576-6611 Ext 1110.

Accepting the following forms of payment:

  • Commercial and Private insurance
  • Medicare
  • Medicaid
  • Healthy Kids
  • Self Pay

Health Plans Accepted

Aetna Betterhealth of FL -Medicaid

Aetna-Commercial

Amerigroup-Medicaid

AvMed-Commercial

BCBS- FL-Commercial

Beech Street / Multiplan

Cigna-Commercial

Clear Health Alliance

CMS Network-Children Medical Services

HealthSun- Medicare

Magellan-Medicaid

Medica Health -Medicare

Medicaid -Florida

Medicare

Molina Healthcare of Florida

Neighborhood Health Plan

Positive Health Care – Medicaid & Medicare

Preferred Care Partners

Prestige-Medicaid

Simply-Medicaid

Sunshine Health / Ambetter- Florida

UnitedHealthcare

Wellcare /Staywell/Healthease- Florida

Aetna Logo Cigna Logo United Healthcare Logo Neighborhood Health Plan Logo Jacksone Memorial Hospital LogoAmerigroup Healthcare Logo Molina Healthcare Logo Universal Insurance Logo Simply Healthcare Logo Clear Health Alliance LogoDepartment of Health and Human Services Logo

Dental Plans Accepted

  • Aetna Dental

    Argus Dental Plan

    Careington Dental

    Cigna Dental Health

    Delta Dental

    Denta Quest

    Dental Benefit Providers -UHC

    Dental Wellness- Sunshine

    Florida Combined Life- BCBS

    Florida Dental Benefits

    Guardian Dental

    Positive Healthcare

    Safeguard- MetLife

    Humana Dental

    Liberty Dental Plan

    MCNA

    Medicaid -Florida

    Solstice

    Sun life PPO

Aetna Logo  United Healthcare LogoArgus Dental Logo Careington Health Insurance Logo Solstice Dental Logo MetLife Logo MCNA Dental Logo Liberty Dental Plan Logo Humana Health Insurance Logo Florida Blue Cross Blue Shield Logo DentaQuest Logo Delta Dental Logo

Behavioral Health Insurance Accepted

  1. Aetna Behavioral Health

    BCBS- FL-Commercial only

    Beacon Health Options

    Beacon Health Strategies

    Cenpatico Behavioral Health

    Cigna Behavioral Health

    Concordia Behavioral Health

    Humana Behavioral Health

    Magellan Health -Medicaid only

    Medicaid- Florida

    Medicare

    MH Net Behavioral Health

    Optum-United Behavioral Health

    Wellcare /Staywell/Healthease

 Cigna LogoAmerigroup Healthcare LogoMagellan Healthcare LogoHumana Health Insurance LogoBeacon Health Options Logo

Borinquen Medical Centers of Miami Dade

Sliding Scale Payments

Sliding Fee Discount Program (SFDP)

Primary Care Medical Office Visits

 

 

A SFDP will be provided to eligible individuals based on their abiltiy to pay.  The ability to pay will be determined by household incomeand family size, relative to a discount schedule based on current federal poverty guidelines (FPG).  Only individuals and families with annual incomes at or below 200 % of the FPG will qualify for the SFDP.  Borinquen Medical Centers  ensures that:

  1. No patient is denied care due to inability to pay
  2. Fees are consistent with locally prevailing rates or charges
  3. SFDP is reviewed and adjusted as needed at least once every 3 years with the approval authority of the governing board.
  4. Every reasonable effort to obtain reimbursement from third party payers is made

As part of the registration process, the Patient Service Representative (PSR) will inform patients of the SFDP and explain the paperwork needed to complete the application.  Information about the SFDP is also available in our brochure and Signage throughout our ceters in English, Spanish, and Haitian Creole.

Indviduals interested in applying for the discount must provide proof of household income.

Acceptable forms of proof of household income (one of the following):

  • W-2/income tax/1099
  • Most recent 3 check stub
  • Social Security letteror check stub
  • Notarized letter from employer if self employed, paid in cash, etc
  • Letter from unemployment office or unemployement check stub
  • Notarized Self-Declaration of Income (to be used only if the applicant does not have a written income verifcation)(Refer to Self-Declaration Form)

** Eligibilty frot he SFDP is renewed annually with the receipt of updated documentation

Sliding Fee Income Finder

% of Poverty Level 0-100% 101-138% 139-159% 160-200% >200%
Family Size A B C D E
1 up to $12,060 $12,061 - $16,643 $16,644 – $19,175 $19,176 – $24,120 $24,121 and up
2 up to $16,240 $16,241 - $22,411 $22,412 – $25,822 $25,823 – $32,480 $32,481 and up
3 up to $20,420 $20,421 - $28,180 $28,181 – $32,468 $32,469 – $40,840 $40,841 and up
4 up to $24,600 $24,601 – $33,948 $33,949 – $39,114 $39,115 – $49,200 $49,201 and up
5 up to $28,780 $28,781 – $39,716 $39,717 – $45,760 $45,761 – $57,560 $57,561 and up
6 up to $32,960 $32,961 – $45,485 $45,486 – $52,406 $52,407 – $65,920 $65,921 and up
7 up to $37,140 $37,141 – $51,253 $51,254 – $59,053 $59,054 – $74,280 $74,281 and up
8 up to $41,320 $41,321 – $57,022 $57,023 – $65,699 $65,700 – $82,640 $82,641 and up
for EACH additional
family-member add:
$4,180 $5,768 $6,646 $8,360 $8,360
as of 2017

A full discount is given to individuals and families with  annual incomes at or below 100% fo the FPG.  These patients will be charged a nominal fee (Slide A).  Sliding Scale fees are offered upt to 200% fo the FPG.  Borinquen Medical Centers cannot offer a discount to individuals and families with annual incomes above 200% of the FPG.

 

Waiver of Fees: Waiver of fees (non-collection of expected charges) are made availableto qualified patients.  Waiver of fees must be approved by the CFO/CEO.

 

WE WILL NOT DENY YOU SERVICE IF YOU DO NOT HAVE THE FINANCIAL ABILITY TO PAY OUR FULL FEES.

  • Fee discounts are determined on the basis of your ability to pay.
  • A full discount is given to you if your household’s annual income falls at or below 100% of the FederalPoverty Guidelines. You will be charged a nominal fee (our “A” rate).
  • Sliding scale fees are offered up to 200% of the poverty guideline.
  • We cannot offer a discount if your income is over 200% of the poverty guideline.

Schedule of Fee Discounts

Classification A
0-100%
B
101-138%
C
139-159%
D
60-200%
E
>200%
Comprehensive
(initial, Annual, etc.)
$25 $60 $120 $180 $240
Extended Established Visit $25 $50 $100 $150 $200
Average Established Visit $25 $40 $80 $120 $160
Brief Established Visit $25 $30 $60 $90 $120
Routine Lab $25 $30 $45 $60 $75
Routine X-Ray $25 $30 $45 $60 $75
EKG $25 $30 $45 $60 $75
Cervical Cancer Screening $25 $80 $45 $60 $75
Oral Examination $60 $80 $100 $120 $140
Emergency Dental Visit $40 $50 $60 $70 $80
Regular Extraction $70 $85 $115 $165 $255
Surgical Extraction $110 $135 $190 $275 $390
as of 2017

* This Schedule is based on the most recent Federal Poverty Guidelines; updated annually.

Dental Fee Schedule

We have a system in place to determine if you are eligible for discounted fees.

Fee discounts are determined on the basis of your ability to pay:

  • A full discount is given to you if your household’s annual income falls below 100% of the Federal Poverty Guidelines. You will be charged a nominal fee (our “A” rate).
  • Sliding scale fees are offered up to 200% of the poverty guideline.
  • We cannot offer a discount if your income is over 200% of the poverty guideline.

Dental Sliding Fee Discount Schedule

Classification A
0-100%
B
101-138%
C
139-159%
D
60-200%
E
>200%
$60 per visit minimum $61 per visit minimum $62 per visit minimum $63 per visit
New Patient Exam,
X-Rays and Treatment Plan
$60 $140* $209* $279* $349*
Recall Patient Exam,
Cleaning and X-Rays
$60 $109* $163* $218* $272*
Regular Extraction
(per tooth above Slide A)
$60 $95* $142* $190* $237*
Surgical Extraction
(per tooth above Slide A)
$60 $147* $220* $294* $368*
as of 2017

WE WILL NOT DENY YOU SERVICE IF YOU DO NOT HAVE THE FINANCIAL ABILITY TO PAY OUR FULL FEES.

This Sliding Fee Schedule is based on the most recent Poverty Guidelines. It is updated annually.

Full list of fees are available upon request.

* May be bundled to contain multiple procedures