Turquoise Lodge Hospital Sliding Fee Eligibility Determination and Payment Contract - New Mexico

Turquoise Lodge Hospital Sliding Fee Eligibility Determination and Payment Contract - New Mexico

Turquoise Lodge Hospital Sliding Fee Eligibility Determination and Payment Contract is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.

FAQ

Q: What is the Turquoise Lodge Hospital Sliding Fee program?A: The Turquoise Lodge Hospital Sliding Fee program is a program that provides discounted medical services to eligible individuals based on their income and family size.

Q: Who is eligible for the Turquoise Lodge Hospital Sliding Fee program?A: Eligibility for the Turquoise Lodge Hospital Sliding Fee program is based on income and family size. Individuals with an income at or below the specified income limits may be eligible.

Q: How do I apply for the Turquoise Lodge Hospital Sliding Fee program?A: To apply for the Turquoise Lodge Hospital Sliding Fee program, you need to complete an application form and provide proof of income and family size. The application form can be obtained from the hospital.

Q: What documents are needed for the application?A: You will need to provide proof of income, such as pay stubs or tax documents, and proof of family size, such as birth certificates or tax documents.

Q: What services are covered under the Turquoise Lodge Hospital Sliding Fee program?A: The Turquoise Lodge Hospital Sliding Fee program covers a wide range of medical services, including inpatient and outpatient care, emergency services, and prescription medications.

Q: How much does the Turquoise Lodge Hospital Sliding Fee program cost?A: The cost of the Turquoise Lodge Hospital Sliding Fee program is based on a sliding scale, which means that the amount you pay will depend on your income and family size.

Q: How often do I need to update my information for the Turquoise Lodge Hospital Sliding Fee program?A: You will need to update your information for the Turquoise Lodge Hospital Sliding Fee program annually or whenever there is a change in your income or family size.

Q: Can I use health insurance with the Turquoise Lodge Hospital Sliding Fee program?A: Yes, you can still use your health insurance while participating in the Turquoise Lodge Hospital Sliding Fee program. The program may cover any out-of-pocket expenses not covered by your insurance.

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Form Details:

  • Released on May 4, 2016;
  • The latest edition currently provided by the New Mexico Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New Mexico Department of Health.

Download Turquoise Lodge Hospital Sliding Fee Eligibility Determination and Payment Contract - New Mexico

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