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. 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. At SIM, we help you receive these services at a reasonable cost, based on your income and family composition.
How does the Sliding Fee Discount Program work?
- During your first visit to any of our Health Centers, our staff will assist you in determining your eligibility for this program.
- An application for the preliminary assessment will be completed based on the patient’s economic capacity, taking into account current income and family composition.
- 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.
- 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.
Documents required for evaluation:
Patient identification
- Driver’s license
- Electoral card
- Passport
- Another official document with photo
Evidence of income (as applicable)
- Checkbooks or social security checks, unemployment, veteran’s insurance, retirement, private pension, inheritance payments, interest, income, royalties, property payments, credits or other benefits and / or payments.
- Form 499R2 / W-2PR
- Medical Plan Card with limited coverage
- Evidence of non-eligibility of medical coverage
Residence Verification
- Water, electricity or telephone invoices
Family composition
- Birth certificate of family members
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.