Resources

Sliding Fee Discounts

Teche Action Clinic offers a sliding fee discount to all uninsured and underinsured individuals who qualify based on an approved sliding fee scale. This sliding fee scale is based on the United States Department of Health and Human Services (HHS) Federal Poverty Guidelines and uses household size and income to determine eligibility. The Federal Poverty guidelines assists TAC in assessing eligibility for individuals living at and/or below Federal Poverty Level.

In order to apply for a sliding fee discount, the patient must provide household size and proof of total household income at the time of service. Once eligibility is established, the patients charges will be discounted down to a minimum fee. All minimum fees are due at the time of service. Proof of income must be updated annually.

All patient must submit proof of income each year in order to continue receiving discounted services.

HHS FEDERAL POVERTY GUIDELINES

2013 HHS Poverty Guidelines Persons in Family 48 Contiguous
States and D.C.
Alaska Hawaii

1

$11,490

$14,350

$13,230

2

15,510

19,380

17,850

3

19,530

24,410

22,470

4

23,550

29,440

27,090

5

27,570

34,470

31,710

6

31,590

39,500

36,330

7

35,610

44,530

40,950

8

39,630

49,560

45,570

For each additional
person, add

4,020
5,030
4,620

Summary of Our Notice of Privacy Practice

 
This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact Teche Action Board, Inc. at 337-828-2550.

Who will follow this notice?

  • Teche Action Clinic Teche Action Clinic @ Edgard
  • Teche Action Clinic @ Dulac Teche Action Clinic @ Houma
  • West St. Mary School Based Health Center Teche Action Clinic @ Pierre Part
  • Teche Action Clinic @ Reserve Teche Action Clinic @ Morgan City
This notice describes our privacy practices. All of the above sites and locations follow the terms of this notice. In addition, these sites and locations may share health information with each other for treatment, payment, or health care operations purposes described in this notice.

Our pledge regarding health information

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this health care practice, whether made by your personal doctor or others working in this office. This notice will tell you about the ways in which we may use and disclose health information about you, and describe certain obligations we have regarding the use and disclosure of your health information.

We are required by HIPAA law to:
  • Make sure that health information that identifies you is keep private
  • Give you this notice of our legal duties and privacy practices with
  • Respect to health information about you
  • Follow the terms of the notice that is currently in effect

How we may use and disclose health information about you:

The following categories describe different ways that we may use and disclose health information. By coming for care, you give us the right to use your information for treatment, to get reimbursed for your care, and to operate our organization.

There are also various other ways in which we may use or disclose your information:
  • Appointment reminders
  • To allow oversight of the quality of the healthcare we provide
  • To allow workers' compensation claims
  • As required by subpoena in lawsuits and disputes
  • Various uses as required by law or to avert a serious threat to health or safety
Your rights regarding health information about you:
 

You have the following rights regarding health information we maintain about you:

  • Right to inspect and copy (retrieval and copying fees will be assessed)
  • Right to request an amendment
  • Right to an accounting of disclosure
  • Right to request restrictions
  • Right to request confidential communications
  • Right to a paper copy of this notice

Changes to this notice:

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. Any revised notices will be posted in our facility. In addition, each time you register for treatment or health care services we will offer you a copy of the current notice in effect.

 
Complaints:
 
If you believe your privacy rights have been violated, you may file a complaint with us by contacting the complaint officer. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
 

 
 
Patient Complaint Process
 
 
 All TAB, Inc. facilities are community responsive. In an effort to continually improve, expand, and monitor our scope of services, we welcome and solicit all patient and family input. In addition to periodic patient satisfaction surveys, your comments or suggestions may be expressed verbally and/or in writing.
 
 
Should you have the need to file a complaint, you may do so by following TAB's Inc. complaint process:
  • To voice a concern, complaint or grievance, please ask for the complaint officer or designee. The complaint officer or designee will speak to you about the issue, follow-up and report the outcome of the investigative process to all parties involved. You can request a patient complaint form from the front desk receptionist. After completing the form, return it to the complaint officer or designee.
  • You may also verbally express complaints by calling the complaint officer at 1-800-426-9141. You can expect a response from the complaint officer or designee within a reasonable time frame.
  • If the problem has not been solved to your satisfaction, you may file a formal written grievance with the clinic's administration or Teche Action Board, Inc.
Formal grievances should be submitted in writing to:
 
Teche Action Board, Inc.
Complaint Officer
1115 Weber Street
Franklin, LA 70538
Phone: 1-800-426-9141
 

   

 

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