At Salud Integral en la Montaña, Inc. (SIM), we are committed to ensuring that you always receive primary and preventive medical care, even if you do not have the ability to pay to receive them.
At SIM, we help you receive these services at a reasonable cost, based on your income and family composition.
We receive funds under Section 330 of the Federal Department of Health to provide medical services through our Sliding Fee Discount Program to patients who do not meet the criteria for the Puerto Rico Government Health Plan, whose income is insufficient to benefit from a private medical plan, or who have a health plan with limited coverage.
How does the Sliding Fee Discount Program work?
- At any of our Health Centers, our staff will guide you through the eligibility requirements for this program.
- An application for a preliminary assessment will be completed, taking into consideration annual income and family composition at that time.
- If eligible, the patient will be issued a preliminary discount card valid for the next 15 days (grace period).
- During the grace period, the patient must attend their appointment with the social worker or designated staff (an appointment previously scheduled during the preliminary assessment) to submit the necessary documents and complete the socioeconomic assessment. This will determine the applicable discount (if any), and the patient will be provided with a program entry card valid for one year.
- The applicable discount will be based on family composition, family income, and poverty level and will be applied according to the evidence the patient presents at their annual evaluation appointment.
- After the grace period, If the patient is unable to present the evidence by the agreed-upon time, the patient will be considered to have the ability to pay and will be responsible for the payments corresponding to the services received in the Health Center.
Services covered under the Sliding Fee Discount Program
- Primary Medical Services
- Laboratory
- X-Ray
- Emergency Room
- Pharmacy
- Dental
- Nutrition
- Health Education
- Psychology
- Clinical Social Work
Documents required for the assessment
Patient Identification / Household Composition
- Driver’s license
- Voter Registration Card
- Passport
- For minors, an original Birth Certificate must be presented.
Evidence of income (as applicable)
- Checkbooks or social security checks, unemployment, veteran’s insurance, retirement, private pension, interest, income, royalties, credits or other benefits and/or payments.
- Form 499R-2 / W-2PR / Income Tax Return
Proof of Residency
Water, electricity, or telephone bill showing your current residential address.
Completed Eligibility Form
This form will be provided during the assessment appointment.
To all our patients
Salud Integral en la Montaña, Inc. (SIM), will attend all patients regardless of their ability to pay. We offer discounts based on income and family composition. For more information on how you can benefit from this sliding fee discount program, please refer to the Patient Services windows and request an appointment with the Social Worker and/or designated staff.