Financial Assistance

At Women's Health Services, we have many programs available to patients who may need financial assistance with their healthcare needs.  Below, several options are outlined along with links to forms you need to complete to apply for such assistance.  If you have questions about these or other programs, please contact our Billing Department at 563-243-1413.

  • Sliding Fee Scale/In-House Discount
    We have a sliding fee scale available for those that qualify.  To enroll for this discount, you must bring with you:
    • the Sliding Fee Scale/IHD form completed
    • proof of income from the last 30 days, including child support, alimony and/or unemployment
    • any child care expenses paid
  • Iowa Family Planning Network (IFPN)
    This program, for Iowa residents only, covers your annual exam, your PAP, and your birth control for one year.  To qualify, you must be between 13 and 45 years of age and be an Iowa resident (cannot have a residence in another state and be attending school in Iowa), and your income must meet certain guidelines.  You must supply the following items when you apply:
    • completed IFPN form
    • proof of income from the last 30 days
    • unemployment information, if applicable
    • photo ID (school ID, state ID, drivers license)
    • child support case number, if from Iowa
    • child support information, if from a different state
    • proof of citizenship (birth certificate, if you were not born in Iowa)
    • Social Security number and/or card 
  • Iowa Breast & Cervical Cancer Early Detection Program
    This is a program for Iowa residents only.  It covers your annual exam, your PAP (if eligible) and your mammogram every year.  It will also cover other breast and cervical issues.  Please complete the application and return it to Women's Health Services.  Your enrollment is good for one year. 
  • Illinois Healthy Women Program
    The program for Illinois residents helps pay for your annual exam, your PAP, and for your birth control for one year.  The program is renewable each year.  To qualify, you must be 19 to 45 years of age, an Illinois resident, and your income must meet certain guidelines.  You must supply the following items to apply.  DHS will contact you if they need additional information and to let you know if you are approved. 
    • completed Illinois Healthy Women application
    • proof of income from the last 30 days
    • photo ID (school ID, state ID, drivers license)
    • proof of citizenship (birth certificate)
  • Well Woman of Northwest Illinois
    This program is for women that live in certain counties in Illinois who have no insurance or insurance that does not apy for an annual exam, a PAP, and a mammogram. 

    To be considered, for this program, you must be a resident of one of these Illinois counties: Stephenson, Jo Daviess, Carroll, Ogle, or Lee; be 35 to 64 years old; and be uninsured or underinsured.

    To apply for this program:
    • complete the application
    • include income information
    • send application and income information to:
      Stephenson County Health Department
      10 W. Linden Street
      Freeport, IL 61032 - 3310
  • Breast & Cervical Cancer Program of Illinois
    This program is for residents of Whiteside County, Illinois.  It is for uninsured or underinsured individuals.  To apply for this program please contact Whiteside County Health Department at 815-626-2230.