Clinic Fees
At the Ryan White Early Care Clinic, fees charged to clients for services rendered are based on the client’s level of income.*
The chart below lists fees by income level and type of service.
Limits on fees for clients receiving services funded under The Ryan White HIV/AIDS Treatment Extension (CARE) Act of 2009
Individual/Family Annual Gross Income | Total allowable Annual Charges |
---|---|
Equal to or below the official poverty line | No charges permitted |
101%-200% of the official poverty line | 5% or less of gross annual income |
201%-300% of the official poverty line | 7% or less of gross annual income |
Greater than 300% of the official poverty line | 10% of gross annual income |
Family Size | A <100% | B 101-150% | C 151-200% | D 201-250% | E 251-300% |
---|---|---|---|---|---|
1 | <=$11,770 | $11,888 to $17,655 | $17,773 to $23,540 | $23,657 to $29,425 | $29,543 to $35,310 |
2 | <= $15,930 | $16,089 to $23,895 | $24,054 to $31,860 | $32,018 to $39,825 | $39,984 to $47,790 |
3 | <= $20,090 | $20,291 to $30,135 | $30,336 to $40,180 | $40,380 to $50,225 | $50,426 to $60,270 |
4 | <= $24,250 | $24,493 to $36,375 | $36,618 to $48,500 | $48,742 to $60,625 | $60,868 to 72,750 |
5 | <= $28,410 | $28,694 to $42,615 | $42,889 to $56,820 | $57,103 to $71,025 | $71,309 to $85,230 |
6 | <= $32,570 | $32,896 to $48,855 | $49,181 to $65,140 | $65,465 to $81,425 | $81,751 to $97,710 |
7 | <= $36,730 | $37,097 to $55,095 | $55,462 to $73,460 | $73,826 to $91,825 | $92,192 to $110,190 |
8 | <= $40,890 | $41,299 to $61,335 | $61,744 to $81,780 | $82,188 to $102,225 | $102,634 to $122,670 |
9 | <= $45,050 | $45,501 to $67,575 | $68,026 to $90,100 | $90,550 to $112,625 | $113,076 to $135,150 |
10 | <= $49,210 | $49,702 to $73,815 | $74,307 to $98,420 | $98,911 to $123,025 | $123,517 to $147,630 |
+1 | $4,160 | $6,240 | $8,320 | $10,400 | $12,480 |
*Mental health and chemical abuse and dependency counseling and support services are available at no cost to patients of the Ryan White Early Care Clinic regardless of income.
Other Fees
- Maximum charge of $15.00 for a total of five prescriptions.
- HIV Test (Results back in two weeks) – $66
- STD Test – $52
- Rapid HIV Test referrals are provided.