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Sliding Fee Program

At Rae of Hope, LLC, we are committed to making mental health services as accessible as possible. For individuals and families who may not have insurance coverage or who are experiencing financial hardship, we offer a sliding fee program based on household income and financial need.

Our sliding fee scale allows eligible clients to receive services at a reduced rate, helping ensure that cost is not a barrier to receiving care.

Eligibility for sliding fee services is determined by reviewing income and household size. Individuals who wish to be considered for the program may be asked to provide documentation verifying income.

Sliding fee availability may vary depending on the type of service requested and current program capacity.

If you are interested in learning more about our sliding fee program or determining whether you may qualify, please contact our team. We are happy to discuss available options and help you identify the best path forward for accessing services.

 

Insurance & Payment Options

Rae of Hope currently accepts MaineCare and private pay. Sliding fee options may be available for qualifying individuals based on financial need.

Sliding Fee Discount Information

 

It is the policy of Rae of Hope Counseling to provide essential services regardless of the patient’s ability to

pay. ROH offers discounts based on family size and annual income.

Please complete the following information to determine if you or members of your family are eligible for a discount.

 

The discount will apply to all services received at Rae of Hope and you must complete this form every 12 months or if your financial situation changes.

Please list all household members, including those under age 18

Source

Gross wages, salaries, tips, etc.

Income from business and self-employment

Unemployment compensation, workers' compensation, Social Security, Supplemental Security Income, veterans' payments, survivor benefits, pension, or retirement income

Interest; dividends; royalties; income from rental properties, estates, and trusts; alimony; child support; assistance from outside the household; and other miscellaneous sources

TOTAL INCOME

Upload any documentation

I certify that the family size and income information shown above is correct.

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OUR OFFICE

HOURS

INSURANCE ACCEPTED

FEES

Address: 284 Main Street

Suite 280

Wilton, ME 04294

Phone: 207-808-0432

Email:  

Mon - Fri: 8am - 5pm
 

MaineCare

Aetna
 

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