Sliding Fee Discount Program

Southern Primary Care is able to offer a discount on certain services based on a household’s income and size.

Last updated: January 1, 2026

How the Discount Works

Sliding fee calculations are determined by using an applicant’s total household annual income and are based on the most recent Federal Poverty Guidelines (see the table below) to determine your eligibility.

If you wish to qualify for the sliding fee, you must show proof of income for all family members/individuals living in your household or individuals for whom you are financially responsible. If you do not have any source of income, please provide a brief, written statement explaining how you provide basic life essentials, food, and shelter.

What to Bring

Applicants should provide a copy of the following documents, if applicable:

Previous year’s Federal Tax Return, W-2’s or 1099’s (income will come from the total income line)
Most recent pay stubs spanning four weeks
Social Security or pension income
Public assistance award letters for each adult age 18 and over living in the household
Unemployment compensation

Renewal and Payment

Your household discount will be assessed once per year. You must reapply for the Sliding Fee discount and provide updated income documentation at this time.

PLEASE NOTE: You may be responsible for the payment of some procedures, labs, and medications. Sliding fee payment is due and payable at the time of service. If you are unable to make payment at the time of service, please contact us at (478) 477-0966 to make other payment arrangements.

How to Apply

Return completed application(s) and income documentation within 21 days to any of our locations, or mail to: Southern Primary Care, Attn: Billing Department, 197 Bass Rd, Macon, GA 31210. If you have any questions, please contact the Billing Department at (478) 477-0966.

Sliding Fee Scale

Based on the Federal Poverty Guidelines. Find your family size, then the column your annual or monthly household income falls in; the patient fee for that category is shown at the top of the column.

Swipe sideways to see every category.

Family size	Income	Category 0 Up to 100% Patient fee: $45	Category 1 100.01% – 149.99% Patient fee: $65	Category 2 150.00% – 174.99% Patient fee: $85	Category 3 175.00% – 199.99% Patient fee: 100%
1	Annual	$0 – $14,580	$14,581 – $21,869	$21,870 – $25,514	$25,515 – $29,160
1	Monthly	$0 – $1,215	$1,216 – $1,822	$1,823 – $2,126	$2,127 – $2,430
2	Annual	$0 – $19,720	$19,721 – $29,579	$29,580 – $34,509	$34,510 – $39,440
2	Monthly	$0 – $1,643	$1,644 – $2,464	$2,465 – $2,875	$2,876 – $3,286
3	Annual	$0 – $24,860	$24,861 – $37,289	$37,290 – $43,504	$43,505 – $49,720
3	Monthly	$0 – $2,072	$2,073 – $3,108	$3,109 – $3,626	$3,627 – $4,144
4	Annual	$0 – $30,000	$30,001 – $44,999	$45,000 – $52,499	$52,500 – $60,000
4	Monthly	$0 – $2,500	$2,501 – $3,750	$3,751 – $4,375	$4,376 – $5,000
5	Annual	$0 – $35,140	$35,141 – $52,709	$52,710 – $61,494	$61,495 – $70,280
5	Monthly	$0 – $2,928	$2,929 – $4,392	$4,393 – $5,124	$5,125 – $5,856
6	Annual	$0 – $40,280	$40,281 – $60,419	$60,420 – $70,489	$70,490 – $80,560
6	Monthly	$0 – $3,357	$3,358 – $5,035	$5,036 – $5,874	$5,875 – $6,714
7	Annual	$0 – $45,420	$45,421 – $68,129	$68,130 – $79,484	$79,485 – $90,840
7	Monthly	$0 – $3,785	$3,786 – $5,677	$5,678 – $6,623	$6,624 – $7,570
8	Annual	$0 – $50,560	$50,561 – $75,839	$75,840 – $88,479	$88,480 – $101,120
8	Monthly	$0 – $4,213	$4,214 – $6,319	$6,320 – $7,372	$7,373 – $8,426
Each additional family member	Annual	+ $5,140	+ $5,140	+ $7,710	+ $8,995
Each additional family member	Monthly	+ $428	+ $428	+ $642	+ $750

Exclusions

The following will be billed at 100% of the actual charge based on our fee schedule:

Some in-office surgeries/procedures
Certain injectables
Off-site services, such as hospital, hospital services, and nursing homes

Download the Application and Fee Scale (PDF)

Questions about this page? Contact Southern Primary Care at (478) 477-0966 or appointment@southernprimarycare.com.