Healthy Neighborhood Health Plan

This page explains the Healthy Neighborhood Health Plan
and provides the required forms to fill out and submit.

Does BCMC offer specialized health plans? YES - Healthy Neighborhood Health Plan

BCMC offers specialized health plans ~
Healthy Neighborhood Health Plan

  • For patients that meet income guidelines
  • Sponsored by the Federal Government
  • Sliding fee scale for patients up to 200% of poverty based on family size
  • The minimum co-pay is $15 and the maximum is $60

What is the Fee Schedule
for Healthy Neighborhood Health Plan?




FORMs
for the Healthy Neighborhood Health Plan

The forms are in Adobe PDF format (right click, save target as - to download to your computer)

BCMC Healthy Neighborhood Agreement

Sliding Fee Chart

Print document, fill out, and submit in person to BCMC.


The above forms require Adobe Reader.

Download Adobe Reader