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Monkeypox vaccine available for eligible ICHS patients at high risk. Please call an ICHS clinic to determine eligibility and make an appointment.


Pfizer COVID-19 bivalent (Omicron) booster vaccine is now available for ages 12+! ICHS patients can call (206) 788-3700 to make an appointment. Non-ICHS patients can walk-in to our pharmacies Monday-Friday from 9am-4pm (supplies limited). More info on our COVID-19 vaccine page


ICHS pharmacies carry limited quantities of Novavax (ages 12+) and Pfizer COVID-19 (5+) vaccines for primary series. Novavax available at International District and Shoreline only. Walk-ins welcome Monday-Friday from 9am-4pm (supplies limited).


Masks are mandatory at all ICHS clinics and sites. ICHS is a health care facility. Please keep yourself and others safe.

Patient Billing

Patient Billing


ICHS is committed to providing affordable health care to all people, regardless of ability to pay or insurance status. We accept most major insurance plans, including Medicare and Medicaid. If you do not have health insurance, our patient services representatives can assist you with questions regarding eligibility and help you and your family apply. Learn about our insurance assistance. We also offer a sliding-scale discount based on household income and family size if you are uninsured or need help paying for services and medications that are not covered.

We accept most insurance plans

  • Low-cost and free insurance through the Washington Healthplanfinder, including Washington Apple Health (Medicaid) and plans purchased through the Affordable Care Act
  • Medicare, including Community HealthFirst™ and other Medicare Advantage Plans
  • Most major private insurance plans

Paying your bill is easy

You can pay your bill:

  • Through our online patient portal MyChart
  • In person at your clinic with cash, check or credit card
  • By phone. Call us at 206.788.3642 with a credit card
  • By mail. Send your payment along with the bottom portion of your bill to:
    ICHS Patient Billing
    PO Box 3007
    Seattle, WA 98114-3007

ICHS self-pay costs and transparency

ICHS is committed to helping patients understand their health care options and the cost of care. ICHS provides advance quotes for patients paying out-of-pocket so the process is transparent and obligations are up-front and clear. If you are a self-paying patient – which means you will pay out-of-pocket and not through a health insurance plan, Medicare or Medicaid – alert us that you would like an up-front fee estimate when you first check in. Your quote will need to be confirmed with a paper copy of your pay stub and/or your most recent tax return within five days off your appointment.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” (GFE) 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 1-800-985-3059.

For questions

If you have questions about insurance, cost of services or our billing process, please contact ICHS patient billing services at 206.788.3642.


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