Cabin Creek Health Systems offers a sliding fee discount program

  • The sliding fee discounts are available to patients who are unable to pay because they are uninsured and they meet the household income/size guidelines.
  • The discounts are also available to patients who are insured who meet these income guidelines.
  • In the case of insured patients, the sliding fee payment levels are for the portion of the allowed service charge not covered by the insurer and for which the patient would normally be responsible.

Patient household income determines the level of sliding fee discount.  These levels are used to determine the level of discounts provided for medical and dental services, for prescription medications provided at CCHS pharmacies and for pulmonary rehabilitation services. Reference laboratory tests patient fees are waived by the reference lab for patients whose income meet the eligibility guidelines.

2 Ways to Apply

Print and Mail Application

1. Download the Application

Click on the button below to download the one page application.

Download Application

2. Print and Fill Out Application

Please complete the entire application to the best of your ability.

3. Mail Application with Proof of Income

Please mail the application and proof of income* to this address:

Maria Shamblin
CCHS Patient Assistance Coordinator
Clendenin Health Center
107 Koontz Ave, Suite 200
Clendenin, WV   25054

*Acceptable proof of income includes: wage statement, social security check or benefit letter, SNAP Benefit letter, alimony check, child support check, food stamp voucher, Unemployment Weekly Benefit Letter, financial assistance from family member or friend, retirement benefit statements or other income documents you may have.

4. Meet with CCHS Representative

Once your application is reviewed, a representative will contact you to set up an appointment.

5. Reapply Each Year

Be sure to apply each each to ensure you don’t lose your discount eligibility.

1. Download the Application

Click on the button below to download the one page application.

Download Application

2. Print and Fill Out Application

Please complete the entire application to the best of your ability.

3. Mail Application with Proof of Income

Please mail the application and proof of income* to this address:

Maria Shamblin
CCHS Patient Assistance Coordinator
Clendenin Health Center
107 Koontz Ave, Suite 200
Clendenin, WV   25054

*Acceptable proof of income includes: wage statement, social security check or benefit letter, SNAP Benefit letter, alimony check, child support check, food stamp voucher, Unemployment Weekly Benefit Letter, financial assistance from family member or friend, retirement benefit statements or other income documents you may have.

4. Meet with CCHS Representative

Once your application is reviewed, a representative will contact you to set up an appointment.

5. Reapply Each Year

Be sure to apply each each to ensure you don’t lose your discount eligibility.

Apply Online (Currently Unavailable)

1. Complete Online Application Below

2. Meet with CCHS Representative

Once your application is reviewed, a representative will contact you to set up an appointment.

3. Reapply Each Year

Be sure to apply each each to ensure you don’t lose your discount eligibility.