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INDIAN RIVER COUNTY HEALTH DEPARTMENT FEE SCHEDULE -- Effective Oct 1 , 2003 IRCHD POLICIES School Year Policy Regarding Physicals: If a patient is already established at IRCHD as a primary care patient, physicals will be given based on sliding fee scale ; however, if they are new to the clinic for medical care , they must pay the advance fee of $30 . 00 unless they register as a primary care patient and transfer all current medical records to the health department. County of Residence : ( Primary Care) If a patient has Medicaid , other confirmed medical coverage , or prepays out of county charge , we will see them in the clinic and bill for service . However, all sliding fee or zero pay patients must be seen at the health department in the county of their residence . Failure to show confirmation of county residence will result in payment of 100% until such confirmation is obtained . (Exception to this rule will be for treatment of communicable diseases and family planning services . Insurance will not be billed for family planning services . Employee medical care will be provided based on approved policy and procedure . Hepatitis A & B vaccines are provided free of charge to ages 0- 18 per CDC Vaccine for Children guidelines . If a patient has Medicaid coverage . Medicaid will cover Hep A & B to age 21 . Vaccines will not be provided on a sliding fee scale for non-established patients over the age of 18. EXCEPTION : Vaccine will be provided free of charge or on reduced fee if vaccine is treatment for communicable disease . Anonymous HIV Testing : $25. 00 fee applies to all patients who request HIV test. However, test will be given regardless of ability to pay. Reduced fee will be accepted for hardship cases . Per agreement with Partners in Women 's Health , a reduced fee of $ 10 .00 will be billed to those patients who are pregnant and referred to IRCHD for HIV testing . Access to dental services will be limited to those patients who make 200% or less of the Federal Poverty Level . ( Effective May 8 , 2002 ) 9/9/2003CLFEE2003-04 Page 7 of 7