Our Mission: To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority


Sue Curfman, President and CEO




Primary care, dental care, and behavioral health with service icons


COMTREA - A Place Where You can Learn and Grow!

Staff helping an intern on their computer  Staff teaching a young professional  Young dentist

COMTREA offers a wonderful intern program that is designed to give students supervised, practical experience within the profession. Students are able to integrate and synthesize theories and techniques learned in the classroom in a real work setting. We help develop personal qualities, characteristics, and behaviors of professionals, while promoting the transition from "trainee" to "professional practitioner." 

Divisions of COMTREA Intern Program

Behavioral Health | Dental Care | Primary Care

We contract with area schools to provide these services.  Please check with your faculty advisors to ensure we have a contract in place with your school.

Our Behavioral Health division offers multiple services to both children and adults ranging from counseling to psychiatric services. We offer internships and/or practicums for counseling as well as social work.


  • 600 Hours and 2 Semesters

For more information, please contact Rachel Pourchot at 636-931-2700 ext. 4367

Our Dental Care division offers services to both children and adults. We have multiple dental offices in the community and provide school-based care as well as a mobile MAP clinic. We offer internships for student dentists as well as for dental hygienists and dental assistants.

For more information, please contact Dr. Courtney Garland at 636-931-2700 ext. 1616

Our Primary Care division offers both adult and pediatric services to the Jefferson County community. We have three locations in the county, High Ridge, Hillsboro, and House Springs. We offer internships and/or preceptorships for nursing students and nurse practitioners.

For more information, please contact either Christian Hayes at 636-931-2700 ext. 1510 or Jacklyn Lowry at 636-931-2700 ext. 1639.

 Get your foot in the door and get ready to SHINE!



Receive free insurance coverage services from our trained staff who are available to assist you in:

  • Filing appeals and exemptions
  • Requesting a special enrollment period
  • Medicaid, CHIP, or Marketplace plan re-enrollment/renewals
  • Social service, pharmacy, or other assistance programs
  • Understanding and utilizing insurance
  • One-on-one customizable education sessions about affordable insurance coverage options

Coverage Options

Medicaid (MO Health Net) 

Missouri’s Medicaid program is called MO HealthNet. MO HealthNet covers qualified medical expenses for individuals who meet certain eligibility requirements. Eligible individuals receive a "MO HealthNet Identification Care" or a letter from the Family Support Division identifying them as eligible for certain medical care services.  


Medicare is a health insurance program for people age 65 or older, under age 65 with certain disabilities, and all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Sliding Fee Scale

The sliding fee scale is in place to meet the needs of the uninsured or underinsured, providing reduced costs to most services for those who qualify. No one will be denied access to services at COMTREA, as services are offered regardless of insurance status or ability to pay.  The sliding fee scale includes primary care, dental care, and behavioral health. 

Download the Sliding Fee Scale Application

The Marketplace (Affordable Care Act)

  • The ACA gives subsidies to households that are within certain income ranges. Based on household income.
  • If you are under 30 years old or have a “hardship exemption,” you may be eligible for “catastrophic" health coverage. This kind of insurance shields you from high medical costs if you need a lot of care.
  • You may be entitled to stay on your parent’s policy if you are under 26 years old.
  • Regularly confirm that your physician is still in network. You might pay more for an out-of-network visit.
  • The new health law prohibits insurance carriers from charging you or dependents higher rates for pre-existing conditions or for being female.

Sliding Fee Scale



0-100% Poverty


101-125% Poverty


126-150% Poverty


151-175% Poverty


176-200% Poverty

Family Size Yearly Income Yearly Income Yearly Income Yearly Income Yearly Income
1 $0 - $12,490 $12,491 - $15,613 $15,614 - $18,735 $18,736 - $21,858 $21,859 - $24,980
2 $0 - $16,910 $16,911 - $21,138 $21,139 - $25,365 $25,366 -  $29,593  $29,594 - $33,820
3 $0 - $21,330 $21,331 - $26,663 $26,664 -  $31,995 $31,996 - $37,328 $37,329 - $42,660
4 $0 - $25,750 $25,751 - $32,188 $32,189 - $38,625 $38,626 - $45,063 $45,064 - $51,500
5 $0 - $30,170 $30,171 - $37,713 $37,714 -  $45,225  $45,256 - $52,798 $52,799 - $60,340
6 $0 - $34,590 $34,591 - $43,238 $43,239 - $51,885 $51,886 - $60,533 $60,534 - $69,180
7 $0 - $39,010 $39,011 - $48,763 $48,764 - $58,515 $58,516 - $68,268 $68,269 - $78,020
8 $0 - $43,430 $43,431 - $54,288 $54,289 - $65,145 $65,146 - $76,003 $76,004 - $86,860
Each Additional Person  $0   $4,420 $4,421   $5,525 $5,526   $6,630 $6,631   $7,735 $7,736   $8,840

Primary Care Minimum Charge

$20 $30 $35 $40 $45
Behavioral Health Minimum Charge $20 $30 $35 $40 $45
Dental Care Minimum Charge $40* 30% 40% 45%


No discount is offered for anyone over 200% poverty level based on the federal schedule above. Standard charges apply. Please see front desk for discount application and payment arrangements.

Insurance Providers


Behavioral Health Dental Care Primary Care
Aetna Aetna Aetna
Ambetter Delta Dental Blue Cross Blue Shield
Blue Cross Blue Shield Medicaid Care Improvement
Home State Health Medicare Cigna
Cigna DentaQuest Coventry
Com Psych Envolve Dental Essence
Essence United Health Care Healthlink
Health Link Principal Home State Health
Humana Cigna Humana
Magellan Liberty Dental Medicaid
Medicaid MetLife Medicare
Medicare   Multi Plan
Mercy   United Health Care
Well Care   Tricare
United Health Care    

Additional Resources


For more information, contact us at 636-931-2700 ext. 4418 or 1-877-COMTREA

24 Hour Crisis Services
Proud member of United Way of Greater St. Louis HRSA Logo Carf Agency

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©2018, COMTREA, All Rights Reserved

COMTREA Main Office: Festus, Missouri   Phone: 636-931-2700   Fax: 636-931-5304                                     

This health center receives HHS funding and has Federal Public Health Services (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Copyright ©2015 by Community Treatment, Inc. All Rights Reserved. This Web Site (the "COMTREA Site") is operated and maintained by COMTREA, Inc., a Missouri non-profit corporation. The information contained on the COMTREA Site shall be deemed provided in the State of Missouri and subject only to Missouri laws. The information and other materials on the COMTREA Site are provided without charge to you, subject to these Conditions of Use and Legal Notices. If you do not wish to be bound by these Conditions of Use and Legal Notices, please leave and do not use the COMTREA Site. If you access and use the COMTREA Site you will be deemed to have accepted and agreed to all of the Conditions of Use and Legal Notices.

  • Nationally Accredited
  • Professional
  • Private, Not for Profit
  • Confidential