Sliding Scale

What it means

A pricing system where the cost of a service depends on the patient's income. Lower earnings mean a lower rate. Some places charge nothing at all for people below a certain income level. Clinics, dental offices, mental health providers, and some legal services use sliding scales. The patient usually has to bring proof of income (a pay stub, tax return, or benefits letter) and the provider calculates the rate. Sliding scale is different from free — the patient may still owe something, but it is based on what they can actually afford.

When you might hear this

You hear this at health clinics, dental offices, and counseling centers that serve low-income patients. It means the cost goes up or down based on what you earn — the less you make, the less you pay.

What to ask