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%

$1,041

$1,409

$1,778

$2,146

$2,514

$2,883

$2

$10

175%

$1,822

$2,467

$3,111

$3,756

$4,400

$5,045

$5

$20

200%

$2,082

$2,818

$3,555

$4,292

$5,028

$5,765

$10

$20


Effective 2019  --- source: U.S. Government