Required Notifications

This page organizes important patient notices in one easy-to-find place. You can review federal billing protections here, access our sliding fee discount information, and return for additional required notices as they are added.

Sliding Fee Discount Program

Our sliding fee discount program information remains available on the Patient Information page, with policy summaries and application documents linked below for quick access.

Surprise Medical Bills

Review your federal protections against surprise medical bills, learn when balance billing is not allowed, and access the full notice on its own page.

Medicare ACO Notice

Review our Medicare Shared Savings Program Accountable Care Organization notice and learn what participation means for Medicare patients.

Surprise Medical Bills

If you have commercial health insurance and receive emergency care or certain services from an out-of-network provider at an in-network facility, federal law protects you from many surprise medical bills.

View the full Surprise Medical Bills page to review their rights, see when balance billing is prohibited, and find federal complaint information.

Read Full Surprise Medical Bills Notice

Medicare ACO Notice

Gagon Family Medicine + Urgent Care participates in the Medicare Shared Savings Program. Medicare patients can review the dedicated Accountable Care Organization notice to learn what stays the same about their benefits and where to find official Medicare information.

Read Full Medicare ACO Notice

Sliding Fee Discount Program

Gagon Family Medicine offers discounts on services provided based on family size and annual income. Our discount program is available to all individuals and families who receive services in our offices with annual incomes at or below 200 percent of the most current federal poverty guidelines.

For the full program details, please review the linked policy summary, collections policy, and application documents below.

Required Notifications

Sliding Fee Discount Program

Surprise Medical Bills

Medicare ACO Notice

Surprise Medical Bills

Medicare ACO Notice

Sliding Fee Discount Program

Sliding Fee Discount Policy

Sliding Fee Collections Policy

Sliding Fee Discount Application