Sliding Fee Discount Program

Ensuring access to quality healthcare for all patients, regardless of ability to pay.

Our Commitment

Community Medical Center of West Volusia is committed to providing quality healthcare services to all patients, regardless of their ability to pay.

We offer a Sliding Fee Discount Program (SFDP) to ensure that eligible patients receive care at a reduced cost based on their household income and family size.

No patient will be denied access to services due to inability to pay.

Non-Discrimination Statement: Services are provided to all individuals regardless of race, color, national origin, ethnicity, language, disability, sex, age, sexual orientation, gender identity, religion, or ability to pay.

How the Program Works

Discounts are based on the Federal Poverty Guidelines (FPL) and are updated annually.

Eligibility is determined using:

  • Household income
  • Family size
  • Supporting documentation (proof of income required)

Patients must complete a sliding fee application and provide documentation before discounts can be applied.

2026 Income Eligibility Table

Income thresholds based on household size and the Federal Poverty Guidelines.

Family Size: 1

100% FPL$15,960
150% FPL$23,940
200% FPL$31,920

Family Size: 2

100% FPL$21,640
150% FPL$32,460
200% FPL$43,280

Family Size: 3

100% FPL$27,320
150% FPL$40,980
200% FPL$54,640

Family Size: 4

100% FPL$33,000
150% FPL$49,500
200% FPL$66,000

Family Size: 5

100% FPL$38,680
150% FPL$58,020
200% FPL$77,360

Family Size: 6

100% FPL$44,360
150% FPL$66,540
200% FPL$88,720

Family Size: 7

100% FPL$50,040
150% FPL$75,060
200% FPL$100,080

Family Size: 8

100% FPL$55,720
150% FPL$83,580
200% FPL$111,440

For households larger than 8, add $5,680 for each additional person.

Patient Responsibility

The table below shows the discount level and patient fee based on household income relative to the Federal Poverty Level.

0–100% FPL

Discount100% discount
Patient Fee$20 nominal fee per visit

101–150% FPL

Discount75% discount
Patient Fee$25 per visit

151–200% FPL

Discount50% discount
Patient Fee$50 per visit

Above 200% FPL

DiscountNo discount
Patient Fee$100 (full fee)

Additional Information

  • Discounts apply to services provided at Community Medical Center of West Volusia.
  • Sliding fee eligibility must be updated periodically or if financial circumstances change.
  • Patients with insurance are encouraged to use their coverage; discounts apply to eligible services based on program guidelines.

How to Apply

Applying is simple and confidential. Patients may apply before their appointment or during their visit at either the Orange City or DeLand location.

1

Download the Application

Download and complete the Sliding Fee Discount Program application.

2

Gather Documentation

To verify eligibility, please provide proof of income for all adults in your household. Acceptable documentation includes:

  • Recent pay stubs from the last 30 days
  • Most recent Federal Tax Return or W-2
  • Social Security, Disability, or Unemployment benefit letters
  • If you have no income, a signed letter of support from the individual providing food and shelter
3

Submit

Bring the completed application and documentation to the front desk at either location:

Orange City Office

810 Commed Blvd., Orange City, FL 32763

DeLand Office

1190 N. Stone St., DeLand, FL 32720

Frequently Asked Questions

Questions About Payment Options?

Our billing staff at both the DeLand and Orange City locations are here to help.

Contact us online or visit either location in person.

Community Medical Center of West Volusia

A Rural Health Clinic providing accessible, quality pediatric and internal medicine services to West Volusia, Florida.

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Orange City Office

  • 810 Commed Blvd.
    Orange City, FL 32763
  • (386) 775-1792
  • Monday - Friday: 8:00 AM - 5:00 PM

    After Hours (Telehealth Only): Monday - Friday, 5:00 PM - 7:00 PM

    (Please call the office to schedule)

    Saturday: 8:00 AM - 1:00 PM

    (Available at both locations. Saturday availability varies throughout the year—please call the office to verify before visiting.)

DeLand Office

  • 1190 N. Stone St.
    DeLand, FL 32720
  • (386) 738-1792
  • Monday - Friday: 8:00 AM - 5:00 PM

    After Hours (Telehealth Only): Monday - Friday, 5:00 PM - 7:00 PM

    (Please call the office to schedule)

    Saturday: 8:00 AM - 1:00 PM

    (Available at both locations. Saturday availability varies throughout the year—please call the office to verify before visiting.)

Ready to Schedule an Appointment?

Walk-ins welcome • Medicaid accepted

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© 2026 Community Medical Center of West Volusia. All rights reserved.

Pediatrics: Dr. Concepcion Anayas, M.D. • Pam Perry, ARNP|Internal Medicine: Dr. Marcelo Anayas, M.D.

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