Federal grant money, under Title X (Ten), is available through many of Florida's county health departments to help fund vasectomy services. How much grant money is available to a certain county depends upon (1) whether the county has a vasectomy program, (2) how many vasectomies and tubal ligations were performed in that county during its previous fiscal year, and (3) how much money remains until the county is funded again at the beginning of its next fiscal year. The extent of an individual's coverage depends upon his income and number of dependents, as well as upon the county in which he is seeking services. For example (and this information may change with time), Pinellas, Pasco, Hernando and Charlotte Counties recognize all fee groups (A-H) below, can accommodate those who qualify for partial funding (Groups B-H), and will provide services for a fee (check with the individual county) to those who do not qualify for any coverage (Group I). Hillsborough County, on the other hand, will provide full coverage for vasectomy services to individuals in Fee Groups A-H, as the County does not yet have a system in place to accept partial payment for vasectomy services. Similarly, Citrus County covers 100%, but only for men who fall into columns A or B or the Sliding Fee Scale below. Some counties have arrangements for providers to perform vasectomies in their county clinic facilities; other counties arrange for procedures to be done in private doctors' offices or Planned Parenthood clinics. Some counties will deny Title X coverage to a man with health insurance even if the insurance deductible is high (sometimes more than the vasectomy fee) and he qualifies for assistance based upon income and family size. Under Title X rules, county health departments may not restrict allocation of the Title X funds to residents of their own counties. Therefore, men who qualify may receive funding for services in any county.
Examples: A man with a take-home (net) income of $19,000 and 4 family members would qualify for full coverage in Pinellas and Hillsborough Counties. A man with a net income of $28,000 and 6 family members would qualify for 83% coverage in Pinellas County (he would be asked to pay 17% of $300 or $49.30), but he might qualify for full coverage in Hillsborough, since Hillsborough County does not offer partial coverage. It is a federal requirement that the patient be at least 21 years of age and that there be a 30-day interval between a candidate's counseling and vasectomy dates for all vasectomies performed where Title X funds are utilized.
If you find that it is difficult to obtain services through your county health department, or you are denied services despite the fact that you think you may be eligible, you may try to obtain funding and services in the health department of a nearby county. The following is a list of counties which contain or are close to sites where vasectomy services are provided by Dr. Doug Stein. In some cases, this is through the county's health department. In other cases, vasectomy services are provided by Dr. Stein in other facilities. Click on any underlined link for details.
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