Paying for Services

As a community health center, we provide services regardless of ability to pay and require you to complete certain documents before we can discount your fee. Payments, including discounted fees, are required at the time of service.

One or more of the following items, plus the completed Sliding Fee Scale application, must be shown before we can apply any discount to your required payment:

  • A copy of current year’s Income Tax Return
  • Copies of all paystubs from a three-month period
  • A copy of three-month’s bank statement indicating direct deposits from income sources
  • A letter from employer verifying, hourly wages, number of hours scheduled on a regular basis, signed by the employer on their letterhead
  • Notice of Financial Determination from the Office of Unemployment Compensation
  • Notice of Income Determination from the Department of Housing

Please print out the application, complete it, and present to the intake staff during your next visit.

Contact us, should you be unable to pay for services at the time of service, and we will assist you in determining eligibility for discounts and establishing a plan for payment. Co-pays are due at the time of service. Co-pays are eligible under the sliding fee discount program. If you feel you may be qualify for our sliding fee discount program, please contact us prior to your appointment.

Please click here to download our Medical Sliding Fee Scale.

Please click here to download our Dental Sliding Fee Scale.

Please click here to download our Sliding Fee Scale Application.

Medical Assistance


You may now qualify for Medicaid in Maryland. Under the Affordable Care Act, Medicaid is available to more people throughout the state. More people than ever will now qualify for Medicaid assistance. Even if you were told you didn’t qualify for Medicaid in the past, you may now qualify under the new income eligibility rules.


Where do I go to apply for medicaid?
Maryland Health Connection will provide online, in-person or over-the-phone application assistance for Marylanders to get enrolled. Applicants can also go to their local Department of Social Services or Health Department office to apply. In-person assistance will also be available through a statewide network of consumer assistance organizations. IN addition, Total Health Care’s Pre-Service Specialists can assist with insurance eligibility.
What are the changes to the Medicaid application process
Maryland Health Connection is our state’s new health insurance marketplace that will make it easier for Marylanders to apply for and renew Medicaid coverage. The online and paper application is a single, streamlined process for all health insurance affordability programs.
How will it work?
Medicaid is expanding to cover all adults under age 65 up to 138 percent of the Federal Poverty Level (FPL), or about $32,500 annually for a family of four. Eligibility for most people will be based on Modified Adjusted Gross Income (MAGI) which is a federal standard linked to tax methods. Eligibility will be determined in real time in most cases. Income and other required information will be verified using data from the IRS, Social Security Administration, and other state and federal data sources; no paper verification will be necessary when the information is already available.
If I already have Medicaid What should I do?
If you or your children are currently enrolled in Medicaid, you do not need to do anything. You will be contacted when it is time to renew your coverage. In 2015, you will be able to renew your Medicaid coverage online at You will also be able to seek assistance with the renewal process by phone and at existing and new locations.
Do the new income and household composition rules apply to all Medicaid beneficiaries?
No. The new income and household eligibility rules will not apply to the elderly, people applying on the basis of need for long term care, people who qualify for assistance with Medicare premiums and cost-sharing, and foster care youths.
What will happen to Primary Adult Care (PAC) program?
Beginning in 2014, Medicaid will cover all adults up to 138 percent of the Federal Poverty Level ($15,856 annual income for a household size of one). The Primary Adult Care (PAC) program will end on December 31, 2013, and active PAC enrollees will be automatically transitioned to a full Medicaid benefit. PAC enrollees will be notified of the additional benefits available through the HealthChoice program. Notifications about PAC transitions will begin during the fall of 2013.
Are there any changes for youths in foster care in Maryland enrolled in Medicaid?
Yes. Young adults who have aged out of foster care will remain eligible for Medicaid up to age 26. Where can I go to find more information on Medicaid changes in Maryland? Go to for more information or to sign up for updates. Additional information about Medicaid can be found at

Maryland Children’s Health Program (MCHP)

The Maryland Children’s Health Program (MCHP) offers a free or low-cost health insurance program for up to age 19 and pregnant women in families with low to average incomes. Covered services include in-patient hospital care, medical doctor visits, lab tests, dental care, eye care, medicines and immunizations. Income before taxes and other deductions is counted.

Those eligible for MCHP are children under age 19, who are not eligible for Medicaid, whose modified adjust gross income is at or below 200% of the federal poverty level (FPL); and who are uninsured.

For more information about MCHP and how to apply please visit the Maryland Department of Health and Mental Hygiene

Insurance Coverage

Total Health Care accepts the following insurance plans:

  • AmeriGroup
  • Aetna
  • Maryland Physicians Care
  • Priority Partners
  • Medicare (part B only)
  • United Healthcare
  • CareFirst BlueCross Blue Shield of Maryland
  • Riverside Health
  • Other Commercial Carriers
  • Medstar Family Choice – Accepted for medical only (no OBGYN)

Total Health Care participates with most Maryland Dental plans.