Boehringer Ingelheim AmeriCares Free Clinic of Danbury

ELIGIBILITY CRITERIA

The Boehringer Ingelheim AmeriCares Free Clinic is open to those who are uninsured and who are without the financial resources to afford medical care.

To be eligible you must:

• Have no public or private health insurance
• Meet income guidelines – less than 200% FPL (see below)
• Be a resident of the area (for a list of eligible towns click here)
• Provide photo identification
• Provide income verification upon request
• Be 18 years or older

Financial Eligibility Criteria for Patient Services

2009 Income Guidelines

The Boehringer Ingelheim AmeriCares Free Clinic program will provide health care services, free of charge, to eligible individuals with a total household income under 200% of the Federal Poverty Level.  For 2009, this level of income would be:

You may be asked to provide proof of household income (i.e. tax returns, pay stubs, unemployment checks) in order to ensure eligibility or to help obtain medicines at no cost to you.

Eligible Towns    

The AmeriCares Free Clinics serve residents of the following towns:

Clinic Expectations

The Boehringer Ingelheim AmeriCares Free Clinic has limited resources and cannot provide care to all those in need.  The Clinic will, therefore, give priority to those patients who demonstrate their willingness and determination to forge a real partnership, working together to improve their health status. 

• We will not treat abusive or abrasive patients
• We will not treat patients under the influence of drugs or alcohol
• We expect patients to come to the clinic clean and appropriately dressed
• We expect patients to be compliant with their medical treatment as prescribed
• We expect patients to be honest about their medical, financial and insurance status

If any of the above expectations are violated, AFC reserves the right to terminate services immediately, either temporarily or permanently.  In such cases, a copy of the patient’s records will be made available, at the patient’s request, to the health care provider of his/her choice.