CHC Free Clinic

 

The Medical Clinic
The Dental Clinic
Volunteers
Frequently Asked Questions
About Us
Commonwealth Health Foundation
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"The patients at the Free Clinic always say 'Thank you.'  It is that gratitude and the knowledge that these patients are working hard to help themselves that keeps me coming back again and again."
- Dental Clinic Volunteer

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The Medical Clinic Hours

Tuesday and Thursday
5 p.m.

Walk-in, first-come, first-served

The Dental Clinic Hours

Monday - Thursday
8 a.m. to 4:00 p.m.

By appointment only

Business Hours

Monday - Thursday
8 a.m. to 4:00 p.m.

Friday
8 a.m. to 12 noon

Commonwealth Health Corporation, including the Free Clinic, is a tobacco-free campus.

The Dental Clinic

Dental services were established in December 1995 when the Free Clinic first opened to the public.  The mission of the clinic was to provide basic dental care to many in need.  Recently, with the inclusion of the dental team formerly at Fairview Community Health, the Dental Clinic has evolved to a full time dental practice which offers less costly fee-for-service options to its patients.  The Dental Clinic operates on a simple sliding scale to determine cost of service provided on a case-by-case basis.  Medicaid is accepted for both pediatric and adult patients, including Medicaid maternity patients in need of a prenatal teeth cleaning visit. Services provided include extractions, fillings, bi-annual cleaning and x-rays.

Basic Eligibility Guidelines

  • The patient must reside in Allen, Barren, Butler, Edmonson, Hart, Logan, Metcalfe, Monroe, Simpson or Warren counties.
  • Patients are required to provide current Federal Tax 1040 information on first visit and then annually. Non-filing patients must complete a federal 4506-T (provided) to qualify for eligibility and charity care discounts.  
  • Patients with private pay dental insurance or whose annual family income falls above 225% of the national poverty guideline (NPG) are not eligible for services.
  • Patients are seen by appointment only.  Patient's failure to keep a scheduled appointment without 24-hour notification may be dismissed from future eligibility.
  • Patients are expected to pay the minimum service fee (as determined by sliding scale) at the time of visit. The balance of the service fee may be billed, but payments are expected promptly to avoid bad debt and to avoid dismissal from future service.

 

Number
Persons
in
Family
100% NPG
100%-185% NPG
186%-225% NPG

$10 due at check-in
$10 per service charge

$20 due at check in
$20 per service charge

$30 due at check in
75% of billed charge

1

$0 - $10,830

$10,831-$20,036

$20,037-$24,366

2

$0-$14,570

$14,571-$26,955

$26,956-$32,783

3

$0-$18,310

$18,311$-33,874

$33,875-$41,198

4

$0-$22,050

$22,051-$40,793

$40,794-$49,613

5

$0-$25,790

$25,791-$47,712

$47,713-$58,028

6

$0-$29,530

$29,531-$54,631

$54,632-$66,443

7

$0-$33,270

$33,271-$61,550

$61,551-$74,858

8

$0-$37,010

$37011-$68,469

$68,470-$83,273

each
addt'l add

$3,740

$6,919

$8,415

Click here for more information

 

 

 


Commonwealth Health Free Clinic    740 East 10th Street     Bowling Green, KY  42101
(270) 781-9260    Toll Free 1-866-345-1220   
freeclinic@chc.net