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Eligibility Guidelines


Eligibility Guidelines

VIM is a medical clinic funded by community contributions. It provides respectful, high quality medical services to low income, uninsured working individuals who do not qualify for government assistance. Patient care is provided by a team of licensed medical professionals and community volunteers who donate their services to the clinic. Although services are provided at no charge, donations are needed to support the clinic.

General VIM Clinic Information

New Patients

All new patients must go through the eligibility screening process and be approved for services before a medical appointment is made. The process takes 15 minutes. Allow 30 minutes for a couple.

Current Patients

All current patients need to be re-screened to update their eligibility every 6 months from their initial screening date. This appointment must take place prior to medical appointments past the original eligibility expiration date.

Screening Appointments

Appointments must be scheduled in advance. Call 685-1800 and request an eligibility screening appointment. Please be sure to cancel in advance if you cannot keep your appointment so that we may see someone else.

Insurance?

We do not see patients who have medical insurance, OHP and/or are eligible for OHP services. In addition, we cannot see anyone who owes back premiums or co-pays for OHP services.

Motor Vehicle Accidents/On the Job Injuries?

We do not see patients whose medical condition is related to a motor vehicle accident and/or an injury that involves Workers' Compensation Coverage.

VIM Eligibility

Patients are deemed eligible to receive VIM services if they fall within our financial eligibility guidelines. Please call 685-1800 to talk to a Screener about eligibility. The Screener with conduct a short Pre-Screening interview on the phone and schedule an eligibility screening appointment if appropriate. Eligibility is based on an individual’s GROSS household monthly income and their liquid resources.

Not Eligible for VIM Services?

There are other agencies in the community that are able to provide medical care to those patients who are ineligible for VIM clinic services. VIM has a list of community resources available.

Eligibility at VIM is determined by an individual’s GROSS household monthly income.
Federal Poverty Level (FPL) (effective 3-07)
VIM eligibility is based on the average monthly gross family income for the last 3 months
# In family 100% FPL VIM Services 200% FPL VIM Services
1 $850 $1,701
2 1,140 2,281
3 1,430 2,861
4 1,720 3,441
5 2,010 4,021
6 2,300 4,601
7 2,590 5,181
8 2,880 5,761

The following information is required at the time of your eligibility screening appointment:

You will be rescheduled if you do not have all the required information at the time of the screening.

  • Proof of residency for Lane County, Monroe and Harrisburg vicinity. (Bring a photo ID, Driver's License, or documents with your name/address.)
  • Proof of all household gross income for married couples and live-in partners for the last 3 months. Official verification/documentation of the following items is required:
    • Checking and/or savings account statement (previous 3 months)
    • Pay stubs for individual and couples
    • Income from unemployment
    • Social Security, pensions, and related retirement income
    • Child support and alimony
    • Interest income, income from rentals
    • Other income from other sources
  • For higher education students receiving loans and grants for school:
    • Copy of the loan or grant
  • For Self-Employed: bring official proof of the following items:
    • Profit and Loss Statement-monthly or quarterly for the last 3 months
    • Income statements or ledger of monthly income for the last 3 months
    • Business bank account statements showing deposits for the last 3 months
    • Tax return (applicable only early in the year)