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The Terry Reilly Nampa 1st St Clinic

Sliding Fee Discount Program

Whether or not you have health insurance, Terry Reilly patients may be able to reduce costs through our Sliding-Fee Discount Program. Patients at or under 200% of Federal Poverty Guidelines are typically eligible. Once approved for a discount, the amount you pay is based on family size and verified income. 

A woman talking with a provider at a desk

Household size is the number of immediate family members including the applicant who are at least 50% dependent upon the income being reported on the application. Typically, this is you, your spouse and your children.

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If You Are a Terry Reilly Patient, Here's How to Apply

  1. Complete the application

  2. Gather required forms of income verification

  3. Submit completed application and required verification forms

Completed applications with income verification take up to 3 business days for processing.

 

Our front desk staff and patient navigators are always available to help you through this process. 
We speak Spanish!

Phone: (208) 318-1326

Email: PatientNav@TRHS.org

Apply Online

Advisory: Application becomes void if income verification is not supplied within 30 days of signing. Patient will be charged full fees until a new form is completed and income eligibility is determined. 

My application is complete.  I want to submit verification forms only. 

Download a printable application

Accepted Forms of Verified Income

Income type

If you are employed:  

  • paystubs issued from all employers within the last 30 days  

  • or a tax return filed within last 90 days  

 

If you are self-employed:  

  • tax return filed within the last 90 days  

  • or a current bank statement showing 90 days of income  

  • a profit & loss statement for the previous 12 months

 

If you are paid in cash:   

  • a bank statement with 90 days of history  

  • AND a SIGNED and DATED letter from your employer listing:  

-your name  

-employer’s name  

-initial date of employment  

-rate of pay and frequency

If you collect unemployment or workman’s compensation: 

  • bank statement with 30 days of history  

  • or official notification stating amount of benefit and weeks remaining

Do you receive other assistance such as?  

  • Worker’s Compensation  

  • Social Security  

  • Supplemental Income (SSI)  

  • Pension/retirement  

  • Rental property income  

  • Trust or estate funds  

  • Child Support  

  • Alimony  

  • Veteran’s benefit  

  • Survivor’s benefit

 

You will need

  • Bank statement with 30 days of history 

  • or current determination letter/benefit summary

If you have no household income:

  • Further verification is required

Other Ways to Submit Forms

In Person: Return completed application and required verification forms at any Terry Reilly location.

By Mail: 211 16th Ave. North, Nampa ID 83653-0009 (Please mail document copies only.  Originals will not be returned)

Through MyChart: This option allows secure electronic submission of income verification documents only. Click here for step-by-step instruction.

Frequently Asked Questions

How long is my discount effective?

Sliding-Fee discounts are effective for 12 months. If financial assistance is still needed after a year, patients will need to re-apply. 

Does the sliding-fee apply to my prescription at Terry Reilly?

Yes, your prescription co-pays might be affected so it is important to complete your sliding-fee application prior to filling a prescription or you may lose discounts on your medication. 

Is Terry Reilly’s sliding-fee discount valid at other healthcare providers? 

No. Our sliding-fee discounts are only valid for services and prescriptions delivered at Terry Reilly. 

What if my information changes?

If your application is approved, you must report any changes of income, address, and/or contact information within 10 days of the change to Terry Reilly patient financial services. 

Do I have to be a Terry Reilly patient to apply?

Yes. Our sliding-fee discount program is only offered to established Terry Reilly patients.

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