- Before services can be provided, ALL clients must provide necessary paperwork to determine their eligibility. Eligibility must be determined before services can be provided.
- Clients must be residents of Davidson County. Documentation must be presented to prove residency.
- To be seen on the Charitable Clinic side of Davidson Medical Ministries Clinic, a patient must have NO insurance.
- Those who have Medicaid, Medicare or private insurance can still be seen at DMMC.
- If your household income is under 100% of the Federal Poverty Level there will be a $5 administrative fee for medical and dental visits.
- If your household income is between 101-200% of the Federal Poverty Level, there will be a sliding scale fee. You will be asked to pay the $5 administrative fee when you arrive and billed for the percent of the total cost of your bill.
- All patients must provide some form of picture ID.
- A copy of your last year’s tax return must be provided. If you do not file taxes, you must sign a verification of non-filing form. If you are married, both signatures are required.
- Proof of your household’s income and expenses must be provided. This includes check stubs, copies of checks, bank statements, letters from Social security, cancelled checks money orders, receipts, proof of food stamps amount, proof of disability filing, proof of unemployment and proof of job search. This information is for anyone in the household for one consecutive month and must be for the last 30 days.
- Failure to provide the necessary paperwork requested for eligibility will result in the patient being billed 100% for services provided.
- Failure to provide necessary paperwork for re-certification means you are NOT eligible and will be billed at 100% for services provided. There is NO GRACE period for recertifications. This may also mean loss of placement in limited space programs.
- Your clinic ID card is your insurance card for DMMC. Without your card you are not eligible for services. Keep your card with you and present it for all services.
- Your certification date will not exceed 364 days from the date of your interview. If you are working, drawing unemployment or have zero income, then your re-certification date may be as short as 6 months.
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