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Bethesda Office Visit Co-Pay Schedule 2022

Income Group by Annual Income

# in Household
1
2
3
4
5+
Co-Pay / Fees
Group B 100%-200%
$13,591 - $27,180
$18,311 - $25,860
$23,031 - $32,580
$27,751 - $39,300
$32,471 - $46,020
Medical - $20
Dental - Tier 1
Group C 200%-300%
$27,181 - $40,770
$25,861 - $51,720
$32,581 - $65,160
$39,301 - $78,600
$46,021 - $92,040
Medical - $30
Dental - Tier 2

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.

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