1. Service Needed
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General Medical Services
Dental Services
OB/GYN Services
2. Family Size
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3. Income Level
Please enter your family size first
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< $12,140
$12,141 - $16,146
$16,147 - $20,274
$20,274 - $24,280
$24,281 - $30,350
> $30,351
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< $16,460
$16,461 - $21,892
$21,893 - $27,488
$27,488 - $32,920
$32,921 - $41,150
> $41,151
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< $20,780
$20,781 - $27,637
$27,637 - $34,703
$34,703 - $41,560
$41,561 - $51,950
> $51,951
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< $25,100
$25,101 - $33,383
$33,384 - $41,917
$41,917 - $50,200
$50,201 - $62,750
> $62,751
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< $29,420
$29,421 - $39,129
$39,130 - $49,131
$49,132 - $58,840
$58,841 - $73,550
> 73,551
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< $33,740
$33,741 - $44,874
$44,875 - $56,346
$56,347 - $67,480
$67,481 - $84,350
> $84,351
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< $38,060
$38,061 - $50,620
$50,621 - $63,560
$63,561 - $76,120
$76,121 - $95,150
> $95,151
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< $42,380
$42,381 - $56,365
$56,366 - $70,775
$70,776 - $84,760
$84,761 - $105,950
> $105,951
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<$11,880
$11,881 - $14,850
$14,851 - $17,820
$17,821 - $23,760
>$23,761
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<$16,020
$16,021 - $20,025
$20,026 - $24,030
$24,031 - $32,040
>$32,041
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<$20,160
$20,161 - $25,200
$25,201 - $30,240
$30,241 - $40,320
>$40,321
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<$24,300
$24,301 - $30,375
$30,376 - $36,450
$36,451 - $48,600
>$48,601
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<$28,440
$28,441 - $35,550
$35,551 - $42,660
$42,661 - $56,880
>$56,881
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<$32,580
$32,581 - $40,725
$40,726 - $48,870
$48,871 - $65,160
>$65,161
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<$36,730
$36,731 - $45,913
$45,914 - $55,095
$55,096 - $73,460
>$73,461
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<$40,890
$40,891 - $51,113
$51,114 - $61,335
$61,336 - $81,780
>$81,781
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<$45,050
$45,051 - $56,313
$56,314 - $67,575
$67,576 - $90,100
>$90,101
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<$49,210
$49,211 - $61,513
$61,514 - $73,815
$73,816 - $98,420
>$98,421
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<$11,880
$11,881 - $17,820
$17,821 - $20,790
$20,791 - $23,760
>$23,761
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<$16,020
$16,021 - $24,030
$24,031 - $28,035
$28,036 - $32,040
>$32,041
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<$20,160
$20,161 - $30,240
$30,241 - $35,280
$35,281 - $40,320
>$40,321
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<$24,300
$24,301 - $36,450
$36,451 - $42,525
$42,526 - $48,600
>$48,601
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<$28,440
$$28,441 - $42,660
$42,661 - $49,770
$49,771 - $56,880
>$56,881
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<$32,580
$32,581 - $48,870
$48,871 - $57,015
$57,016 - $65,160
>$65,161
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<$36,730
$36,731 - $55,095
$55,096 - $64,278
$64,279 - $73,460
>$73,461
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<$40,890
$40,891 - $61,335
$61,336 - $71,558
$71,559 - $81,780
>$81,781
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<$45,050
$45,051 - $67,575
$67,576 - $78,838
$78,839 - $90,100
>$90,101
Select One
<$49,210
$49,211 - $73,815
$73,816 - $86,118
$86,119 - $98,420
>$98,421
You will pay
Please Call Us!
You will pay
for OB services
You will pay
for GYN services
You will pay
for other services (Depo, nurse visit, etc.)
You will pay 100% of the cost of the services you receive