‘Sliding scale fees’ means you pay what you can afford. In order to qualify for sliding scale fees, you must provide documentation of your household income. We need to know about your household income to determine eligibility for discounted fees. Based on the information you provide, the NOMC staff will determine what percentage of the fees are covered by NOMC.
For example, if the medical service is $250 and your eligibility determines that your portion is 10%, you will be responsible for only the $25 co-pay (which is 10% of $250). However, if the medical fees are $500, you are responsible for the same 10%, you will receive a bill from the LSU Healthcare Network for $50 minus the $25 co-pay. You will therefore owe the difference of $25.
Please bring two of the following documents to your first medical appointment:
- Recent Tax Return
- Recording Royalty Statement
- 1099 Form
- W-2 form
- Most recent pay check stub
- Notarized letter from your bandleader, club owner or manager/agent or employer.
Your income is PRIVATE – just as your medical record is PRIVATE! However, we need details about your household income to determine eligibility for discounted fees. The information is also valuable when applying for grants that help offset the cost of your treatment. The information you provide is kept HIGHLY CONFIDENTIAL and is never disclosed in grant applications or other documents.