Sliding Scale Guidelines


Monthly Income per Number of People Living in Household

% of Federal
Poverty
Guidelines

1
person

2
people

3
people

4
people

5
people

6
people

Medical
Clinic
suggested donation

Dental
Clinic
fee

100%

$1,005

$1,353

$1,702

$2,050

$2,398

$2,747

$2

$10

175%

$1,759

$2,369

$2,978

$3,588

$4,198

$4,807

$5

$20

200%

$2,010

$2,707

$3,403

$4,100

$4,797

$5,493

$10

$20


Effective 2017  --- source: U.S. Government