Rhode Island’s first LGBTQ+ and community health clinic.
Open Door Health > Insurance & Payments
Accepted Insurance
Open Door Health provides high quality clinical care to everyone who walks through the door. We try to provide these services to everyone, regardless of a person’s insurance status or ability to pay. For some types of care and especially people that would like to receive ongoing care from us (i.e., primary care), we will try to work with people to obtain insurance if they don’t have it. ODH accepts most major insurance carriers including Medicaid and Medicare. For people who are in need of STI services, PrEP, HIV, and HCV care, we have programs that may cover the cost of care and may be able to work with pharmaceutical companies to obtain free medications if indicated. We understand that accessing healthcare can be complex and navigating insurance coverage can be difficult. We will try to do everything we can to assist you in obtaining high quality care here at Open Door Health.
See below for a list of insurance carriers with whom we are in network. We recommend checking with your insurance provider to make sure your specific plan covers services you may receive from us. If your insurance provider is not on the list, or if your specific plan does not cover services received at our clinic, you may be charged out-of-network fees or be subject to higher deductibles.
We Are Currently In-Network With The Following Insurance Providers:
Sliding Fee Scale
Open Door Health offers financial assistance for healthcare and other services to qualifying patients who are uninsured or underinsured and have income under 200% of the Federal Poverty Level (FPL) based on their household size. The FPL is set by the federal government each year and qualifies patients who may receive discounted care. Income levels are based on a patient’s annual household income before taxes are taken out and the size of their household.
Income is all earned income from all members in a household, excluding non-cash benefits such as food stamps and housing subsidies.
Household family size includes all individuals living in the same residence who are related by birth, adoption, or marriage. Household family size also includes unrelated family members living in the same residence who are supported by or who are a supporting member of the family.
How Do I Apply?
To qualify, complete the Financial Assistance and Sliding Fee Scale Application within 60 days of your visit. You can download the application in English or Spanish. If you have trouble downloading, call our front desk at 401-648-4700 to request a copy. Our staff is happy to assist you with the application or any questions about the sliding fee scale.
Along with the completed application, you must submit proof of income using at least one of the documentation types below:
**Bank statements do not qualify as proof of income.*
To apply, upload your completed application and supporting documents through your patient portal account.
Alternatively, you can mail your application to:
Financial Assistance For People Living With HIV
Patients living with HIV may be eligible for our Ryan White Financial Assistance program, which is based on a federally established Sliding Fee Scale. The Ryan White Program is a federal program that helps cover some health care costs for patients with HIV who do not have health insurance. The Ryan White Financial Assistance Sliding Fee Scale is almost identical to the Open Door Health Financial Assistance and Sliding Fee Scale for patients who are not living with HIV. However, patients with HIV may not be eligible for this sliding fee scale program if they are eligible for another benefit that would pay for their care at Open Door Health (e.g. Medicaid). Patients must have proof of their HIV diagnosis on file at Open Door Health to qualify for the Ryan White Financial Assistance Sliding Fee Scale. We can help you navigate these benefit programs.
Additionally, the federal government establishes a limit on what someone living with HIV can spend on their health care costs at agencies that accept Ryan White funding. Based on these limits, and taking into consideration a person’s gross annual income, Open Door Health applies a maximum amount a patient can be charged directly for health care services in a calendar year (January 1 through December 31).
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