Financial Resources

Helping You Get the Healthcare You Deserve

At Community Clinic, we are dedicated to ensuring that you have access to the healthcare you need and deserve. We understand that navigating the complexities of healthcare options and insurance can be overwhelming. Our commitment to you is reflected in the range of services we offer to make quality healthcare accessible and affordable!

Enrollment Assistance

Learning your options about insurance coverage can be overwhelming. We have Eligibility Specialists at main locations in Springdale, Rogers, Siloam Springs, and Fayetteville who can help you enroll in an insurance plan.

Ready to speak to an Eligibility Specialist? You can call 855-438-2280 extension 4022 for assistance.

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Discount Programs

We believe that quality, comprehensive health care should be available to everyone. That’s why we offer all of our services on a sliding fee scale according to each patient’s financial situation, determined by income and household size.

To determine what discount you are eligible for, please bring Proof of Income (POI) to your first appointment.

2026 Federal Poverty Level (FPL)
Rates Discount Program Details

Accepted forms of POI

  • Two (2) consecutive paycheck stubs or payroll statements for the current year.
  • W-2 form or last year’s state, federal, or tribal tax return (for the most current year).
  • TEA, SSI, or Social Security statement of benefits or current earning statement.
  • Unemployment or Workman’s Compensation statement of benefits.
  • Veterans Administration or Railroad or other retirement statement of benefits.
  • Child support or divorce decree with alimony information.
  • Employer verification form, completed by employer.
  • SNAP (Food Stamp program) statement of benefits with income shown.

You Have the Right to Receive a Good Faith Estimate Explaining How Much Your Medical Care Will Cost

  • Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate
  • For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-855-438-2280 ext 1050.
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Discrimination is Against the Law

Community Clinic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)) Community Clinic does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

Community Clinic:

  • Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats).
  • Provides free language assistance services to people whose primary language is not English, which may include:
    • Qualified interpreters
    • Information written in other languages.

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact Civil Rights Coordinator at Compliance@ccnwa.org or 479-751-7417 ext. 6157.

If you believe that Community Clinic has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Compliance Department, 614 E. Emma Ave. Ste 300, P:479-751-7417, 1-855-438-2280 (text), F: 479-751-4898 Attn: Compliance, compliance@ccnwa.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the compliance department is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

 

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Federal Tort Claims Act (FTCA) Coverage

Community Clinic is deemed a Public Health Service employee under 42 U.S.C. § 233(g)-(n). As a result, Community Clinic and its covered individuals are provided liability protection through the Federal Tort Claims Act (FTCA).

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