Community Outreach: No Cost Surgery... Spivey Station Surgery Center believes in making healthcare available to all and provides financial assistance for patients who are qualified.  The following guidelines (below) have been established in compliance with the state of Georgia to determine eligibility for a 100% discount for individuals who cannot comply with the surgery center’s financial policy due to extenuating circumstances.  Following submission of an application, if a patient does not qualify for a discount, a written communication will be sent informing them of the final decision. Similarly, those who do qualify will also be notified in writing. If you are not eligible for the 100% discount, you may qualify for reduced rates through financial aid. Download an application         Ask a question about the program Elibibility for no cost surgery Certain requirements must be met in order to be eligible for a 100% discount. The patient must:   A.      Return a completed application with documentation and the patient’s income level must be equal to or below 125% of the Federal Poverty Guidelines (FPG)   B.       Be ineligible for Medicaid   Only those with household income at or below 125% of the Poverty Guidelines may qualify for this program.   Family Size   125% of FPG   Year Month 1  $ 11,075.00  $   923.00 2  $ 14,925.00  $ 1,244.00 3  $ 18,775.00  $ 1,565.00 4  $ 22,625.00  $ 1,885.00 5  $ 26,475.00  $ 2,206.00 6  $ 30,325.00  $ 2,527.00 7  $ 34,175.00  $ 2,848.00 8  $ 38,025.00  $ 3,169.00 *  $ 3,850.00  $   321.00   *For family units over 8, add the amount shown for each additional member.