Financial Assistance
Whether or not you have health insurance, DSMG 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.
Family Income is determined by the number of immediate family members living under one roof who are at least 50% dependent upon the income being reported on the application. Typically, this is you, your spouse, and your children.
Types of Assistance
100% Coverage
Those are are approved. Received 100% assistant, which covers the entire visit, labs, and any procedure, or medicine given in clinic.
Partial Coverage
Some who are not eligible for 100% coverage or that have instance but still can't afford co-pays may be eligible for 50% coverage or 25% coverage on top of insurance of private pay.
Payment Plan
Patients may request a payment arrangement at any time. Patients must still fill out and submit an application for financial assistance.
To apply for financial assistance, fill out the following application and send to:
Fax: (832) 406-1848
Mail: 1200 Binz St., Houston TX 77004
E-Mail: submitdocs@desilvamedgroup.com