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Notices:

CFR Home-hero
Financial Assistance
CFR Home-hero
Financial Assistance

Financial Assistance with Rural Health Clinic Bills

If you received a bill for eligible care you received at a Med Center Health Rural Health Clinic, you may be entitled to several different forms of assistance.  The complete list of Rural Health Clinics is located below.

Facilities covered under the Financial Assistance: Rural Health Clinics policy

  • Med Center Health Primary Care Caverna
  • Med Center Health Primary Care Fountain Run
  • Med Center Health Primary Care Franklin
  • Med Center Health Primary Care Munfordville
  • Med Center Health Primary Care Scottsville

Payment Plans

We offer payment plans with 0% interest and no fees to you. Please visit our Payment Plan page for additional details.

Financial Assistance

Med Center Health Rural Health Clinics offer a sliding fee schedule for eligible patients. If your household income is less than or equal 200% of the federal poverty limit, you may be eligible for Financial Assistance in the form of sliding fee schedule discounts. Additionally, if you have previously been approved for Financial Assistance under one of our other policies, you may be eligible to receive those discounts for care received at a Med Center Health Rural Health Clinic if it results in a greater overall discount.

Amount Generally Billed

Med Center Health uses the “look-back” method to calculate the amount generally billed (AGB) as required by federal law. The AGB is the maximum amount we will collect from a patient who is eligible for Financial Assistance under our Financial Assistance Policy. The AGB percentage is based on all claims allowed by Medicare fee for service and private health insurers over a 12-month period divided by the associated gross charges for those claims. The following is percentages were calculated on this basis for the time period of October 2022 through September 2023 for each of our rural health clinics. If you have any questions or wish to speak with us about this policy, please contact us at the Customer Service contact information at the bottom of this page.

  • Med Center Health Primary Care Caverna AGB percentage is 40.9%
  • Med Center Health Primary Care Fountain Run AGB percentage is 35.9%
  • Med Center Health Primary Care Franklin AGB percentage is 35.8%
  • Med Center Health Primary Care Munfordville AGB percentage is 40.9%
  • Med Center Health Primary Care Scottsville AGB percentage is 35.9%

How to apply

You may print the application forms below to complete them and mail with the required documentation as outlined in the forms. You may also drop them off in person at the address below. Also, if you want assistance in completing them, contact Customer Service.

Customer Service
270-745-1100 or 800-786-1581
800 Park Street
PO Box 9577
Bowling Green, KY 42102-9577

Application for Financial Assistance Form – RHC (English)

Application for Financial Assistance Form – RHC (Bosnian)

Application for Financial Assistance Form – RHC (Burmese)

Application for Financial Assistance Form – RHC (Spanish)

Application for Financial Assistance Form – RHC (Swahili)