Some adults may have to pay a small co-payment for some services.
Call 1-888-549-0820 if you have questions about which services require a co-payment.
You can only be required to pay for:
- Allowed co-payments
- Services that are not covered
- Services for which you have already used the limit allowed
The following beneficiaries do not have co-payment requirements:
- Children, age 0-18 years
- Institutionalized individuals
- Home-based and community-based waiver individuals
- Individuals receiving hospice care
- Individuals receiving family planning services
- Individuals receiving pregnancy-related services
- Individuals receiving emergency services
| CURRENT COPAY AMOUNTS
|
| $1.00
|
$2.00
|
$3.00
|
$25.00
|
| Podiatrist services
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Optometrist services
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Durable Medical Equipment
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Inpatient hospital admission
|
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Doctor's office visits
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Dentist Services
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Home health visits
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Prescriptions {per prescription/per refill}
|
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FQHC/RHC Health Center visits
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Outpatient hospital services
|
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Outpatient surgery services
|
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