1100 West 6th Avenue
Gary, IN - 46402
T (219) 885-4264
Edgewater Health operates under a sliding fee scale payment model. What this means to you is that Edgewater Health provides their services even to patients who cannot afford care (such as low-income or who people who need to self-pay). Patients will pay according to their income. Be prepared to provide information on your household income.
| Federal Poverty Guideline | At or Below 100% | 101% – 125% | 126% – 150% | 151% – 200% | Above 200% |
|---|---|---|---|---|---|
| Family Size | Nominal Fee ($10) | Level 1 Charge $20 | Level 2 Charge $30 | Level 3 Charge $40 | No Discount |
| 1 | $0 - $15,060 | $15,061 - $22,590 | $22,591 - $27,861 | $27,862 - $30,120 | $30,121+ |
| 2 | $0 - $25,550 | $25,551 - $30,660 | $30,661 - $37,814 | $37,815 - $40,880 | $40,881+ |
| 3 | $0 - $25,820 | $25,821 - $32,275 | $32,276 - $38,730 | $38,731 - $51,640 | $51,641+ |
| 4 | $0 - $31,200 | $31,201 - $39,000 | $39,001 - $46,800 | $46,801- $62,400 | $62,0401+ |
| 5 | $0 - $36,580 | $36,581 - $45,725 | $45,726 - $54,870 | $54,871 - $73,160 | $73,161+ |
| 6 | $0 - $41,960 | $41,961 - $52,450 | $52,451 - $62,940 | $62,941 - $83,920 | $83,921+ |
| 7 | $0 - $47,340 | $47,341 - $59,175 | $59,176 - $71,010 | $71,011 - $94,680 | $94,681+ |
| 8 | $0 - $52,720 | $52,721 - $65,900 | $65,901 - $79,080 | $79,081 - $105,440 | $105,441+ |
Edgewater Health is a certified Community Mental Health Center and therefore operates through federal and state funds made possible by the Community Mental Health Act. The purpose of these funds to make diagnosis and treatment available to low-income and indigent individuals. The services are either free or under a sliding-scale. These services are available to people of all ages who do not have health insurance.
Counties are often responsible for backing services like schools and hospitals. Edgewater Health receives funding from either the county or another local government. This means that mental health services for local residents might be offered for free or at a reduced rate. Call to find out.
The US Department of Health and Human Services offers funds in the form of Community Services Block Grants to all states. The purpose of these funds is to reduce poverty by helping low-income individuals and families find work, access education, obtain housing, and improve their health. Edgewater Health is a recipient of this grant. You may qualify for assistance provided you meet low-income eligibility requirements but you must apply by contacting the following office:
Veronica Watson ( Community Programs Manager )
30 S. Meridian Street, Ste. 900
Indianapolis, IN - 46204
Phone: 317 234-5825
Fax: 317-232-7778
vwatson@ihcda.in.gov
http://www.ihcda.in.gov
Emily Krauser ( Director of Community Programs )
30 S. Meridian Street, Suite 900
Indianapolis, IN - 46204
Phone: 317-232-2447
Fax: 317-232-7778
ekrauser@ihcda.in.gov
http://www.ihcda.in.gov
Edgewater Health accepts Medicare, a federal health insurance program for people age 65 and older and people with disabilities.
Medicare covers a wide range of mental health services.
Medicare Part A (Hospital Insurance) covers inpatient mental health care services you get in a hospital. Part A covers your room, meals, nursing care, and other related services and supplies.
Medicare Part B (Medical Insurance) helps cover mental health services that you would generally get outside of a hospital, including visits with a psychiatrist or other doctor, visits with a clinical psychologist or clinical social worker, and lab tests ordered by your doctor.
Medicare Part D (Prescription Drug ) helps cover drugs you may need to treat a mental health condition. Each Part D plan has its own list of covered drugs, known as formulary. Learn more about which plans cover various drugs.
If you get your Medicare benefits through a Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan, check your plan’s membership materials or call the plan for details about how to get your mental health benefits.
All state Medicaid programs provide some mental health services. Edgewater Health accepts Medicaid, a joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
Community Mental Health Centers operate through federal and state funds made possible by the Community Mental Health Act. The purpose of these funds to make diagnosis and treatment available to low-income and indigent individuals. The services are either free or under a sliding-scale. These services are available to people of all ages who do not have health insurance. Edgewater Health is a certified Community Mental Health Center therefore offers services to those who might not be able to afford them.
Edgewater Health receives State-financed health insurance plan other than Medicaid
Edgewater Health Funds designed to finance the cost of treatment for mental health conditions.
Edgewater Health recieves or accepts State welfare or child and family services funds.
Obamacare purchased from the Health Care Marketplaces covers Mental Health Care and Substance Use Disorder Treatment. Under the Health Care Law there are 10 categories of benefits. Mental Health Care and Substance Abuse Treatment are two of the 10.
If you have Affordable Care Act Coverage you will have mental health care coverage.
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