505 South State Street
Waseca, MN - 56093
(507) 835-4342
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What is your current addiction that you are seeking help for? How long have you been addicted to it?
Have you ever been to a rehab facility before? How was it? What did you pay for treatment? (Let us also know the name of the treatment center)
Do you have health insurance? Do you have a high deductible?
If you have any other information you would like us to know, please enter it here.
Have you ever had free rehab before? How did you get in to the program?
Do they accept ex felons?
Since many of our rehab centers are sliding scale, we have provided the Federal Poverty Guidelines below. Visit the Fountain Centers in Waseca website listed above to see what the level is needed for free care based on your income from the sliding fee scale.
| Persons In Family Household | Poverty Guideline Salary per year |
|---|---|
| 1 | $15,060 |
| 2 | $20,440 |
| 3 | $25,820 |
| 4 | $31,200 |
| 5 | $36,580 |
| 6 | $41,960 |
| 7 | $47,340 |
| 8 | $52,720 |
*Alaska and Hawaii have different rates for HUD federal poverty guidelines.
These numbers above represent 100% of the Federal Poverty Rate. In order to get reduced or free treatment from some substance abuse centers, they use a sliding fee scale based on your income.
When they use a sliding fee scale, the 100% rate can be different than 100%. In those cases, using for example a 200% federal poverty level, you will only need double the 100% number listed above to 200%.
