Sliding Scale Therapy: How the Blossomed Lotus Cares Program Works
By Nathalie Alabre, LPC (TX LPC 101728 · CT LPC 007970)
The cost of therapy keeps many people from getting support. Blossomed Lotus Cares, Inc., the charitable sister organization of Blossomed Lotus LLC, exists so that cost is not the reason someone in Texas or Connecticut goes without care. This article explains how the sliding fee program works, who qualifies, and how to ask.
What a sliding scale means
A sliding scale means the fee for services is adjusted based on household income and household size. Instead of one set price for everyone, households with lower incomes pay less, and households under a certain income level pay no charge. The structure is not negotiated case by case. It follows a published guideline, so the same rules apply to everyone.
How eligibility is figured
The program uses 200% of the federal poverty guideline as its ceiling. Households at or below 100% of the guideline pay no charge, and discounts phase in for households up to 200%. Using the 2026 figures, the guideline amounts are:
- Household of 1: no charge under $15,960, with discounts up to $31,920
- Household of 2: no charge under $21,640, with discounts up to $43,280
- Household of 3: no charge under $27,320, with discounts up to $54,640
- Household of 4: no charge under $33,000, with discounts up to $66,000
- For each additional person, add $5,680 to the no charge level and $11,360 to the discount ceiling
Eligibility is renewed yearly, so the program can confirm that your household information is still current.
How to ask about the program
Asking is simple, and no login is needed. On the Blossomed Lotus Cares page, you will find a short form called “Ask about the sliding fee program.” You share your name, contact information, and household size, along with your question. One important note: the form is not a secure place for personal health details, so please do not include clinical details or protected health information in it. The office replies by email with the next steps.
If you are not sure whether your household qualifies, ask anyway. The figures above are a guide, and the office can walk through your situation with you directly.
A few things worth knowing
The sliding fee program is one part of what Blossomed Lotus Cares offers. The Cares page also lists free crisis and support resources that are available day or night, including the 988 Suicide and Crisis Lifeline and SAMHSA resources at FindTreatment.gov.
Care should never wait on a paycheck. If cost has been the barrier, we hope this program lowers it. Visit the Blossomed Lotus Cares page to ask your question today.
This article is educational information, not medical advice, and it does not replace care from your own provider. If you are in crisis, call or text 988 any time.