Sliding Fee Discount & Good Faith Estimates

Bloom Psychiatry Sliding Fee Discount Program & Good Faith Estimates

Whether or not you have insurance, Bloom Psychiatry may be able to reduce your costs through Bloom Psychiatry's Sliding Fee Discount Program. All patients are encouraged to complete an application. Eligibility is based on household size and income. Household size is the number of individuals inside or outside of the household, including the applicant, who is at least 50% dependent upon the family income being reported on the application.

How much you will pay will depend on your income. We offer discounts off our regular charges based on a person’s income and the number of people in their household.

New Patients: When you visit Bloom Psychiatry, our office manager will help you determine which sliding fee discount category you belong to. 

To Apply for the Sliding Fee Discount Program please:

1. Speak with our office manager Laura, who will assist you in reviewing your insurance options.

2. Fill out the Bloom Psychiatry Sliding Fee Discount Program Application.

3. Give Bloom Psychiatry proof of your estimated current annual income:

   • Pay stubs, recent tax return, unemployment statements, SSI letter, child support statements, letter from employer, L&I award letter, bank statement, or

   • Signed Self-Declaration of Income

4. Proof of income is required every year to continue to qualify for the Sliding Fee Discount Program. You are encouraged to fill out a new sliding fee application if your household size changes, or your monthly income changes by at least $150 and the change is expected to continue for at least two months.

Services Outside of Bloom Psychiatry

Bloom Psychiatry's Sliding Fee Discount Program only applies to behavioral health services provided at Bloom Psychiatry. All other services provided by outside specialists, labs, or radiology are not covered and the patient will be responsible for any and all charges.

Bloom Psychiatry will not deny services based on a patient’s inability to pay, even if that means reducing or waiving costs (if applicable). Contact Bloom Psychiatry office manager at 509-557-0450 to learn about the resources available to you.

If you would like to receive a Good Faith Estimate customized for you, please call 509-557-0450 and speak with our office manager for a Good Faith Estimate.

Important Notes:  This Good Faith Estimate applies to uninsured patients who qualify for a sliding fee discount and is based on our understanding of your needs as of today. While caring for you, our providers may recommend additional services that are not listed here. Your actual charges may vary from this estimate. This estimate is not a contract and does not require you to get services from Bloom Psychiatry.