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CABAiR/~US COb~TY MEALTH DEPARTMENT
<br /> }t%TE~NAL }LEAi?B PROGRAM FEE SC~E - (GROSS INC0~)
<br />
<br /> Size P~ P~ P~ P~ P~
<br /> 1 $0- 5,979 $ ~,980-$ 7,&7~ $ 7,47~-$ 8,969
<br /> 2 S0- 8,019 S 8~020-$10,02~ ~10,025-$~,029
<br />
<br /> 3 $0-10,059 $10,OGO-$12,57A $12,575-$~,089 $~,0g0-$17,60~ $17,605-$20,~9 $20,~
<br /> A $0-12,099 $12,100-$~.~ $~,125-$18,1&9 $1B,~O'$21,17& ~1,175'$2&,199 $2~,20~
<br /> 5 $0-1&,~9 $1&,1~0-$17~6~4 $17,675-$21,209
<br />
<br /> 6 $0-16,179 $16~180-$20~22~ $20~225-$2~269 $2&,270-$28~31~ $28,3~-$32~359 $32~36~
<br /> ~ $0-18,219 $18~220-$22~77~ $22s775-$27s329 $27,330-$31,884 $31,885-$36s43~
<br /> 8 $0-20~259 $20~260-$25~32~ $25~325-$30~389 $30~390-$35~&5~ $35~&55-$&O~519
<br />
<br /> 10 $0-2A~339 $2&~3&O'$30,&2~ $30,&25-$36,509 $36,510-~2,59& $&2s595-$&8~679
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<br /> Eligibility will be determined with each pregnancy. Income will be determined by declaration of income by patient;
<br />however, verification oan be requested az the discretion of the eligibility specialist. Patients will be expected to pay
<br />according to the above fee scale.
<br /> Patients on sliding fee scale who fail to pay during a pregnancy and return to the health department for care with s
<br />subsequent pregnancy will be referred to the program superVisor or nursing director prior to acceptance for care.
<br /> Patients with hospital insurance and excessive income will be referred to private care. If the patient is unable to
<br />obtain medical care within Cabarrus County (i.e., lack of up-front funds, owes doctor for previous services, doc[ors'
<br />appointments filled) patient can receive care at the Cabarrus County Health Department. Eligibility specialis~will
<br />verify/document (using special form) that "patient is unable to receive care."
<br /> Insurance patients will be placed in the full pay category regardless of income. Insurance will be filed by the health
<br />department.
<br />
<br /> RECOMMENDED FEE SCHEDULE FOR 1989-1990
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