Free Assistance

Patients and clients receive free assistance in navigating insurance coverage

Trained Staff

Our staff are nationally trained and qualified to better help you 

Where you are

Schedule an appointment at one of our several locations in Jefferson County

Two people meeting

Get Covered. Get Assistance.

Receive free assistance in insurance coverage from our trained staff who are available to serve 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 customized education about affordable insurance coverage options

Contact us

Ask our front desk staff to schedule an appointment.

Appointments available in Arnold, High Ridge, Hillsboro, and House Springs.

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 (review form for additional required documentation)

Medicaid Presumptive Eligibility

  • With eligibility, receive temporary Medicaid or CHIP for immediate care.
  • Presumptive eligibility is determined by providing the individual's name, household size, and estimated monthly income.
  • Designed for pregnant women and children under of age of 19 to receive immediate, temporary coverage. 

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 your physician is still in network. You may 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.

INCOME-BASED Sliding Fee Scale

Download application

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. Review form for additional required documentation.


0-100% Poverty


101-125% Poverty


126-150% Poverty


151-175% Poverty


176-200% Poverty

Family SizeYearly IncomeYearly IncomeYearly IncomeYearly IncomeYearly Income
2$0-$18,310$18,311-$22,888$22,889-$27,465$27,466- $32,043 $32,044-$36,620
3$0-$23,030$23,031-$28,788$28,789- $34,545$34,546-$40,303$40,304-$46,060
5$0-$32,470$32,471-$40,588$40,589- $48,705$48,706-$56,823$56,824-$64,940
Each Additional Person $0 $4,720$4,721 $5,900$5,901 $7,080$7,081 $8,260$8,261 $9,440

Primary Care Minimum Charge

Behavioral Health Minimum Charge$25$35$40$45$50
Dental Care Minimum Charge$50*$30%40%45%


Discounts and payment plan

No one will be denied access to services at COMTREA based on ability to pay.

Full pay cash discount

Receive a 5% discount for all services over $500 that are paid in full with cash prior to receiving care.

Full Pay credit card discount

Receive a 3% discount for all services over $500 that are paid in full with credit card prior to receiving care.

Full or partial payment by Visa, Mastercard, or Discover accepted.

Payment Plan

Ask our front desk staff about a payment plan to assist in financial planning options.


Insurance providers are subject to change. Please consult with your insurance provider to ensure coverage. 

Behavioral Health

  • Aetna
  • Ambetter
  • Blue Cross Blue Shield
  • Cigna
  • Com Psych
  • Essence
  • Healthlink
  • Home State Health
  • Humana
  • Magellan
  • Medicaid
  • Medicare
  • Mercy
  • Missouri Care
  • Tricare
  • United Health Care

Dental Care

  • Aetna
  • Cigna
  • Delta Dental
  • DentaQuest 
  • Envolve Dental
  • Liberty Dental
  • Medicaid
  • Medicare
  • MetLife
  • Missouri Care
  • Principal
  • United Health Care

Primary Care

  • Aetna
  • Blue Cross Blue Shield
  • Care Improvement
  • Cigna
  • Coventry
  • Essence
  • Healthlink
  • Home State Health
  • Humana
  • Medicaid
  • Medicare
  • Missouri Care
  • Multi Plan
  • Tricare
  • United Health Care

Additional Resources

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for
medical items and services.
        • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related
           costs like medical tests, prescription drugs, equipment, and hospital fees.
        • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
        • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
        • Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit or call 844-853-8937 (Toll Free)