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Payment & Insurance Info
Removing the barriers to getting you the care you need
Our promise is to provide quality health care to all, regardless of a patient’s insurance coverage or ability to pay. Our goal is to make it easier for you to make appointments, get answers to your health care questions, and take charge of your personal health.
Discount Policy
We offer sliding fee discounts to low-income patients with out insurance or inadequate insurance. Please ask to see our Benefits Coordinator for determining your sliding fee discount. Sliding fee discounts are determined based on your family size and income.
Patients will not be denied services based on their inability to pay.
Sliding Fee Tables
Insurance Information
We are committed to providing integrated, affordable & quality health care to you and your family. We are proud to accept a wide array of insurances and offer self-pay* options for your convenience and accessibility.
NOTE: Before each visit, please call your health plan to verify that the provider you’re seeing participates with your plan. Not all providers participate with every plan.
Medicaid & Managed Medicaid
Medicaid HMO, Healthy Michigan Plan, MI Child)
- Michigan Medicaid
- Maternity Outpatient Medical Services (MOMS)
- Healthy Kids Dental
- Aetna Better Health
- Blue Cross Complete
- Delta Dental
- DentaQuest
- HAP Empowered
- Healthy Michigan Dental
- McLaren Health Plan
- Meridian Health Plan
- Molina Healthcare
- Priority Health Choice
- United Healthcare Community Plan
Medicare & Managed Medicare
(Advantage, Dually Eligible Medicare/Medicaid)
- Traditional Medicare
- Aetna
- Aetna Better Health
- Delta Dental
- DentaQuest
- HAP Empowered
- McLaren Health Plan
- Medicare Plus Blue
- Meridian Complete
- Molina Healthcare
- Priority Health
- WellCare
Commerical
(Check your health plan’s website and search for Covenant Community Care)
- Aetna
- Blue Cross Blue Shield
- Blue Care Network
- Delta Dental
- McLaren Health Plan
- Molina Healthcare
- Priority Health
- United Healthcare
*Self-Pay Option
Sliding fee discounts available for qualifying patients, based on family size and income.
Make a Payment
$14,580 or less
$14,581 – $21,870
$21,871 – $25,515
$25,516 – $29,160
$19,720 or less
$19,721 – $29,580
$29,581 – $34,510
$34,511 – $39,440
$24,860 or less
$24,861 – $37,290
$37,291 – $43,505
$43,506 – $49,720
$30,000 or less
$30,001 – $45,000
$45,001 – $52,500
$52,501 – $60,000
$35,140 or less
$35,141 – $52,710
$52,711 – $61,495
$61,496 – $70,280
$40,280 or less
$40,281 – $60,420
$60,421 – $70,490
$70,491 – $80,560
$45,420 or less
$45,421 – $68,130
$68,131 – $79,485
$79,486 – $90,840
$50,560 or less
$50,561 – $75,840
$75,841 – $88,480
$88,481 – $101,120
Add $5,140 for each additional person
Sliding Fee Discounts
Medical / Counseling / Substance Use Treatment Services
Slide A
100% discount with $20 nominal fee
Slide B
100% discount with $30 fee
Slide C
100% discount with $40 fee
Slide D
100% discount with $50 fee
(No Sliding Fee Discount for 201% FPL and above.)
Dental Services
Slide A
TIER ONE
Preventative Services – $40
Other Core Services – $40
TIER TWO
Additional Services – $80
TIER THREE
Elective Services – $120
Slide B
TIER ONE
Preventative Services – $60
Other Core Services – $60
TIER TWO
Additional Services – $100
TIER THREE
Elective Services – $140
Slide C
TIER ONE
Preventative Services – $70
Other Core Services – $70
TIER TWO
Additional Services – $110
TIER THREE
Elective Services – $150
Slide D
TIER ONE
Preventative Services – $80
Other Core Services – $80
TIER TWO
Additional Services – $120
TIER THREE
Elective Services – $160
Preventative: exams, x-rays, cleanings, fluoride treatments, education, sealants.
Other Core: fillings, simple extractions, pulp capping & pulpotomy, recementing, denture adjustments & repairs, removal of space maintainers.
Additional: periodontal treatment, space maintainers, dentures, denture rebasing & relining, surgical extractions, other surgical procedures.
Elective: root canals, crowns, bridges, bleaching.
