2010 Benefit Levels

Vouchers issued by Migrant Health Service, Inc. pay for the following: (Amounts provided indicate the maximum amount paid)
Please note this program does NOT cover ALL your medical costs.

OFFICE VISIT
75% of usual and customary charge up to:
$100 With a Signed Physician Agreement - Accepted as payment in full for the Office Visit Only (CPT Codes 99211-99215)
$75 Without a Signed Physician Agreement - Office Visit Only (Patient responsible for balance owed on office visit)   
$100 Specialist visit (one per year - Patient pays balance owed)

MEDICAL LAB/X-RAY/EKG
$75 per day for a Combination of all procedures or 1 procedure only done at time of visit

LAB/X-RAY READINGS $40.00

PRENATAL  CARE  PAYMENT  LEVELS
Office Visit        $75.00
Lab/Ultrasound (at 18+ weeks, if necessary)    $125.00
Ultrasound Reading       $75.00

DELIVERY/FALSE LABOR/MISCARRIAGE 
Mother: Hospital       $360.00
           Doctor          $360.00
Baby: Hospital          $360.00
         Doctor            $135.00

DENTIST (Diagnosis V722)      $150 per patient/per year

PHARMACY
Prescriptions ONLY      $100 every 30 days