Keystone Behavioral Health
Last updated on Nov 7, 2020
  • Sliding Scale

Contact Info

820 5th Ave.
Chambersburg, PA - 17201

T 717-709-7930



Sliding Scale

Keystone Behavioral Health operates under a sliding fee scale payment model. What this means to you is that Keystone Behavioral Health provides their services even to patients who cannot afford care (such as low-income or who people who need to self-pay). Patients will pay according to their income. Be prepared to provide information on your household income.

2020 Federal Sliding Fee Schedule based on Annual Income

Fed. Poverty Guideline At or Below 100% 101% – 125% 126% – 150% 151% – 200% Above 200%
Family Size Nominal Fee ($10) Level 1 Charge $20 Level 2 Charge $30 Level 3 Charge $40 No Discount
1 $0- $12,760 $12,761- $15,950 $15,951- $19,140 $19,141- $25,520 $25,521+
2 $0- $17,240 $17,241- $21,550 $21,551- $25,860 $25,861- $34,480 $34,481+
3 $0- $21,720 $21,721- $27,150 $27,151- $32,580 $32,581- $43,440 $43,441+
4 $0- $26,200 $26,201- $32,750 $32,751- $39,300 $39,301- $52,400 $52,401+
5 $0- $30,680 $30,681- $38,350 $38,351- $46,020 $46,021- $61,360 $61,361+
6 $0- $35,160 $35,161- $43,950 $43,951- $52,740 $52,741- $70,320 $70,321+
7 $0- $39,640 $39,641- $49,550 $49,551- $59,460 $59,461- $79,280 $79,281+
8 $0- $44,120 $44,121- $55,150 $55,151- $66,180 $66,181- $88,240 $88,241+

User questions & answers

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Can you get mental health care at this location without insurance?

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