The MHA Wellness Clinic accepts all people — whether you have insurance or not.

We accept:

• Most commercial insurance
• BadgerCare Plus
• Medicare

If you’re uninsured, you’re welcome at MHA Wellness Clinic. You’ll go on what we call our Sliding Fee Scale.

What is the Sliding Fee Discount Program?

The Sliding Fee Discount Program is a federal program that allows MHA Wellness Clinic to discount our standard charges for health care services we provide. The Sliding Fee Discount Program is available to all patients regardless of immigration or insurance status. MHA Wellness Clinic will never deny health care based on the patients’ ability to pay.

Who can apply for the Sliding Fee Discount Program?

Anyone is welcome to apply for the Sliding Fee Discount Program. All patients without insurance MUST be evaluated for the Sliding Fee Discount Program. If you refuse to be evaluated and provide the required documentation, you cannot receive a discount under the Sliding Fee Scale.

Approval for the program is based on family size and combined household income in accordance with the Federal Poverty Guidelines.

If you’re eligible for other assistance programs such as Medicaid, we’ll assist you in applying for these programs in addition to the Sliding Fee Discount Program.

How is eligibility for the Sliding Fee Discount Program determined?

Eligibility is based on the family size and combined household income. You must show proof of income from the last 30 days for all family members living in your household. If you do not provide proof of income or you do not qualify based on your income and family size, you will have to pay the full charges for your services.

How do I apply for the Sliding Fee Discount Program?

You must meet with the Administrative Coordinator at the MHA Wellness Clinic to apply for the Sliding Fee Discount Program. You can schedule an appointment at any of our front desk, or you can call 414-276-3122 and schedule an appointment.

Are appointments required or can I just walk in?

Appointments are encouraged to reduce waiting times to speak with the Administrative Coordinator at the MHA Wellness Clinic . at 3910 W. Lisbon Ave, Monday – Thursday between the hours of 9:00 AM – 3:00 PM.

You can schedule an appointment by contacting the Administrative Coordinator at the MHA Wellness Clinic at 414-276-3122
What type of documents do I need to bring to apply for the Sliding Fee Program?

You will need to bring in proof of income (last 30 days) for all family members living in the household. You will also need to fill out the MHA Wellness Clinic Patient Information Form.”

What can be used as proof of income?

The following documents are acceptable to bring for evaluation of the sliding fee. This is required for all members of a household (not including roommates/non-family members) and will be used to figure how much of a discount you will receive.

• Prior year income tax return or W-2
• Check stubs from the 4 weekly or 2 biweekly pay periods preceding the application
• Un-employment check(s)
• Social Security (SSI) checks or statements
• Pension checks
• Alimony, child support, etc.
• Attestation of income by employer
• Bank statements to verify any direct deposits

Who is considered “family” in regards to determining the number of dependents for the Sliding Fee Discount Program?

Family size is defined as Mother, Father, Children, Significant Other, Husband, Wife and any dependent adult or child who is supported by the family unit and benefits from the combined household income. Roommates DO NOT qualify as ‘Family’.  Unborn children are not included in the calculation of family size.

• Children up to 18 years old, living at home, qualify as a dependent and their income will not count toward the families’ income
• Children 18-21 years old, who are in college and still live at home, will qualify as a dependent their income will not count toward the families’ income
• Children over 18 years old, not in school and are working, will be considered on their own income and will not count as a dependent
• Elderly parents living with their grown children, who do not have any type of Social Security, pension, or income count as a dependent.

Any patient with third-party insurance, whether a drug benefit exists or not, are NOT eligible for this program.

When is my sliding fee scale effective?

The sliding fee is active the same day as you are approved.

When does my Sliding Fee Discount expire?

The sliding fee is active for 1 year from the approval date.

You must re-apply prior to expiration date in order to continue being covered under the Sliding Fee Discount Program. If you do not re-apply before your expiration date, you may have to pay any charges for services that happened during that period after the expiration date until you re-enroll.

What services does the Sliding Fee Discount Program cover?

The sliding fee scale applies only to those services provided directly by or controlled by the MHA Wellness Clinic.

I do not want to provide my financial information. Am I still eligible for the Sliding Fee Discount Program?

Eligibility for the Sliding Fee Discount Program is based on your income and family size. If you choose not to provide Sixteenth Street with this information, you will be responsible for the total charges of services rendered.

How often do I need to apply for the Sliding Fee Discount Program?

You must apply every year. You may re-apply sooner than one year if there is a change in your current household size or income.

How much will I pay if I am approved for the Sliding Fee Discount Program?

The charge for your visit depends on your income, family size, and the type of service you received. When you are approved for the Sliding Fee Discount Program, you will receive a card as well as a handout that details your financial responsibility for services rendered. Payments are due at the time of service.

I cannot pay my bill from the clinic. What should I do?

Contact the MHA Wellness Clinic as soon as possible, 414-276-3122 and speak with the Director of Clinical Services. They will help you explore other options to assist you in paying your balance. MHA Wellness Clinic will never deny health care due to a patient’s inability to pay for the services.