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Bethesda Office Visit Co-Pay Schedule 2023
Income Group by Annual Income
[dvmd_table_maker tbl_column_header_count=”0″ tbl_row_header_count=”8″ tbl_tcell_cell_color=”#0C71C3″ tbl_chead_cell_color=”#0C71C3″ tbl_rhead_cell_color=”#0C71C3″ tbl_rhead_cell_align_horz=”center” tbl_rhead_cell_align_vert=”center” _builder_version=”4.20.0″ _module_preset=”default” tbl_tcell_text_text_color=”#FFFFFF” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][dvmd_table_maker_item col_label=”# in Household” col_content=”# in Household
1
2
3
4
5+
Co-Pay / Fees” col_tcell_cell_color=”#0C71C3″ col_chead_cell_color=”#0C71C3″ col_chead_cell_align_horz=”center” col_chead_cell_align_vert=”center” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][/dvmd_table_maker_item][dvmd_table_maker_item col_label=”Group B 100%-200%” col_content=”Group B 100%-200%
$14,580 – $29,160
$19,720 – $39,440
$24,860 – $49,720
$30,000 – $60,000
$35,140 – $70,280
Medical – $20
Dental – Tier 1″ col_tcell_cell_color=”#0C71C3″ _builder_version=”4.20.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/dvmd_table_maker_item][dvmd_table_maker_item col_label=”Group C 200%-300%” col_content=”Group C 200%-300%
$29,161 – $43,740
$39,441 – $59,160
$49,721 – $74,580
$60,001 – $90,000
$70,281 – $105,420
Medical – $30
Dental – Tier 2″ col_tcell_cell_color=”#0C71C3″ col_tcell_cell_align_horz=”center” col_tcell_cell_align_vert=”center” _builder_version=”4.20.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/dvmd_table_maker_item][/dvmd_table_maker]
1
2
3
4
5+
Co-Pay / Fees” col_tcell_cell_color=”#0C71C3″ col_chead_cell_color=”#0C71C3″ col_chead_cell_align_horz=”center” col_chead_cell_align_vert=”center” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][/dvmd_table_maker_item][dvmd_table_maker_item col_label=”Group B 100%-200%” col_content=”Group B 100%-200%
$14,580 – $29,160
$19,720 – $39,440
$24,860 – $49,720
$30,000 – $60,000
$35,140 – $70,280
Medical – $20
Dental – Tier 1″ col_tcell_cell_color=”#0C71C3″ _builder_version=”4.20.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/dvmd_table_maker_item][dvmd_table_maker_item col_label=”Group C 200%-300%” col_content=”Group C 200%-300%
$29,161 – $43,740
$39,441 – $59,160
$49,721 – $74,580
$60,001 – $90,000
$70,281 – $105,420
Medical – $30
Dental – Tier 2″ col_tcell_cell_color=”#0C71C3″ col_tcell_cell_align_horz=”center” col_tcell_cell_align_vert=”center” _builder_version=”4.20.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/dvmd_table_maker_item][/dvmd_table_maker]
Bethesda serves working uninsured patients who are within 100-300% of the Federal Poverty Level.
If your income is outside of the 100-300% Federal Poverty Level, please call our Patient Care Advocate (903-596-8353 ext 112) to discuss your options.
Questions?
If you have any questions regarding this process or what to bring, please call our Admissions Department at
(903) 596-8353 ext. 112 or email admissions@bethesdaclinic.org.
