Our Fees

If you live in Guilford County and do not have health insurance, Mustard Seed Community Health is here to help.

At Mustard Seed Community Health, we serve those in Guilford County - especially our neighbors in the Cottage Grove neighborhood - based on their household income. If you live in Guilford County, are uninsured or underinsured, and make 200% or less of the Federal Poverty Level, we will charge you according to the fee schedule below.

Our Fees

  • If you live in Guilford County and have a Guilford Community Care Network (GCCN) Orange Card, Mustard Seed charges you according to GCCN’s sliding scale. The fee for an office visit is usually $20-$60, depending on your income level. 
  • If you live in east Greensboro and have private health insurance, Medicaid, or Medicare, Mustard Seed bills your insurer for your services.
  • If you live in Guilford County, do not have a GCCN Orange Card, and do not have private health insurance, Mustard Seed charges you a flat-fee of $60 per visit. 

The Sliding-Scale We Use to Determine Your Fees

To determine your fees, follow these steps on the table below to determine whether your household makes 200% or less of the Federal Poverty Income Level:

  1. In the column on the left, find the number of people in your family/household.
  2. On that line, move to the right until you find your household income.
  3. Follow that column down to the bottom of the table to determine your co-pay for a visit, medicine that is on the formulary, and medicine not on the formulary.


NOTE: If there are more than 8 people in your household, add $5,140 to your household income for each additional person.


If you have this many people in your Family or Household And your Household Income is between And your Household Income is between And your Household Income is between And your Household Income is between And your Household Income is between And your Household Income is less than
1 $14,580 - $18,224 $18,225 - $21,869 $21,870 - $25,514 $25,515 - $29,159 $29,160 - $29,305 $29,306
2 $19,720 - $24,649 $24,650 - $29,579 $29,580 - $34,509 $34,510 - $39,439 $39,440 - $39,636 $39,637
3 $24,864 - $31,079 $31,080 - $37,295 $37,296 - $43,511 $43,512 - $49,727 $49,728 - $49,976 $49,977
4 $30,000 - $37,499 $37,500 - $44,999 $45,000 - $52,499 $52,500 - $59,999 $60,000 - $60,229 $60,300
5 $35,140 - $$43,924 $43,925 - $52,709 $52,710 - $61,494 $61,495 - $70,279 $70,280 - $70,630 $70,631
6 $40,280 - $50,349 $50,350 - $60,419 $60,420 - 70,489 $70,490 - $80,559 $80,560 - $80,962 $80,963
7 $45,420- $56,774 $56,775 - $68,129 $68,130 - $79,484 $79,485 - $90,839 $90,840 - $91,293 $91,294
8 $50,560 - $63,199 $63,200 - $75,839 $75,840 - $88,479 $88,480 - $101,119 $101,120 - $101,625 $101,626
YOUR FEES ARE
Your Visit Co-Pay is $20 $30 $40 $50 $60 the full amount of your bill
Your Medicine Co-Pay for Formulary Items Is $6 $6 $6 $6 $6 $6
Your Medicine Co-Pay for Non-Formulary Items is Depends on the Medicine Depends on the Medicine Depends on the Medicine Depends on the Medicine Depends on the Medicine Depends on the Medicine

A formulary is another name for a drug list of generic and brand-name prescription drugs covered by a specific health insurance plan.



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