Payment Options
Borinquen Medical Centers, 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
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
Neighborhood Health Plan
Positive Health Care – Medicaid & Medicare
Preferred Care Partners
Prestige-Medicaid
Simply-Medicaid
Sunshine Health / Ambetter- Florida
UnitedHealthcare
Wellcare /Staywell/Healthease- Florida
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
Liberty Dental Plan
MCNA
Medicaid -Florida
Solstice
Sun life PPO
Behavioral Health Insurance Accepted
Aetna Behavioral Health
BCBS- FL-Commercial only
Beacon Health Options
Beacon Health Strategies
Cenpatico Behavioral Health
Cigna Behavioral Health
Concordia Behavioral Health
Medicaid- Florida
Medicare
MH Net Behavioral Health
Optum-United Behavioral Health
Wellcare /Staywell/Healthease
MEDICAL HEALTH PLANS WE DO NOT ACCEPT
Careplus Medicare Replacement
Humana
HealthSun
Magellan
Miami Children’s Health Plan
Molina Health Care of FL -CHIP Medikids, Kidcare
Aetna Medicare Replacement/Advantage – HMO
Ambetter – Sunshine HMO – Community Medical Group
Bright Health
Aetna Medicare HMO Assure Plus
Sliding Scale Payments
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:
- No patient is denied care due to inability to pay
- Fees are consistent with locally prevailing rates or charges
- SFDP is reviewed and adjusted as needed at least once every 3 years with the approval authority of the governing board.
- 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 2 check stubs
- 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 | $0 - $13,590 | $13,590.01 - $18,754.20 | $18,754.21 – $21,608.10 | $21,608.11 – $27,180.00 | $27,180.01 and up |
| 2 | $0 - $18,310 | $18,310.01 - $25,267.80 | $25,267.81 – $29,112.90 | $29,112.91 – $36,620.00 | $36,620.01 and up |
| 3 | $0 - $23,030 | $23,030.01 - $31,781.40 | $31,781.41 – $36,617.70 | $36,617.71 – $46,060.00 | $46,060.01 and up |
| 4 | $0 - $27,750 | $27,750.01 – $38,295.00 | $38,295.01 – $44,122.50 | $44,122.51 – $55,500.00 | $55,500.01 and up |
| 5 | $0 - $32,470 | $32,470.01 – $44,808.60 | $44,808.61 – $51,627.30 | $51,627.31 – $64,940.00 | $64,940.01 and up |
| 6 | $0 - $37,190 | $37,190.01 – $51,322.20 | $51,322.21 – $59,132.10 | $59,132.11 – $74,380.00 | $74,380.01 and up |
| 7 | $0 - $41,910 | $41,910.01 – $57,835.80 | $57,835.81 – $66,636.90 | $66,636.91 – $83,820.00 | $83,820.01 and up |
| 8 | $0 - $46,630 | $46,630.01 – $64,349.40 | $64,349.41 – $74,141.70 | $74,141.71 – $93,260.00 | $93,260.01 and up |
| for EACH additional family-member add: |
$0 - $4,720 | $4,720.01 - $6,513.60 | $6,513.61 - $7,504.80 | $7,504.81 - $9,440 | $9,440.01 + |
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 101-150% |
C 151-175% |
D 176-200% |
E >200% |
|---|---|---|---|---|---|
| Medical (including Podiatry) | $25 Nominal Fee | 25% of charges ($26 minimum) | 50% of charges ($27 minimum) | 75% of charges ($28 minimum) | Full Fee |
| Behavioral Health (including Psychiatry) | $25 Nominal Fee | 25% of charges ($26 minimum) | 50% of charges ($27 minimum) | 75% of charges ($28 minimum) | Full Fee |
| Dental Preventative | $60 Nominal Fee | 25% of charges ($61 minimum) | 50% of charges ($62 minimum) | 75% of charges ($63 minimum) | Full Fee |
| Dental Restorative | $70 Nominal Fee | 25% of charges ($71 minimum) | 50% of charges ($72 minimum) | 75% of charges ($73 minimum) | Full Fee |
| Lab, X-Ray, EKG, Immunizations | $10 Nominal Fee | 25% of charges ($11 minimum) | 50% of charges ($12 minimum) | 75% of charges ($13 minimum) | Full Fee |
| Complimentary and Alternative Medicine or Chiropractic | $35 Nominal Fee | 25% of charges ($36 minimum) | 50% of charges ($37 minimum) | 75% of charges ($38 minimum) | Full Fee |
| Nutrition | $5 Nominal Fee | 25% of charges ($6 minimum) | 50% of charges ($7 minimum) | 75% of charges ($8 minimum) | Full Fee |
| Other Specialty, Endocrinology, Neurology | $55 Nominal Fee | 25% of charges ($56 minimum) | 50% of charges ($57 minimum) | 75% of charges ($58 minimum) | Full Fee |
| Non-C-Section Delivery* | $950 | $1220 | $1491 | $1762 | Full Fee |
| Cesarean Section Delivery* | $1186 | $1252 | $1864 | $2203 | Full Fee |
NOTE:
Supply/Lab costs incident to the services (i.e. dentures, crowns, bridges, etc.) are billed in addition to patients, based on actual costs.
Some in office surgeries/procedures or injectables will be separately billed at cost.
* Multiple Births – Each additional baby is $500.
* This Schedule is based on the most recent Federal Poverty Guidelines; updated annually.