Appointments: (816) 232-6818   |   Billing: (816) 232-1486

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2303 Village Drive
Saint Joseph, MO 64506-4954
(816) 232-1486
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Northwest Health Service clinics are open to patients with and without insurance. We accept most insurance and will either file claims for you or help with the completion of claims when needed. Uninsured patients are asked to complete a 2011 Discount Program Application prior to service. Costs will be determined based on household size and income.

About the Discount Program Application
The Discount Program application will help determine the cost for service based on household size and income.

Northwest Health Services fees are based on a discount program which includes medical, dental, behavioral health and pharmacy services and is made possible through grant funding.

Please click on the boxes below to see the discount charts.

Medical & Behavioral Health

    < 100% of Poverty Level 100-150% of Poverty Level 151-200% of Poverty Level > 200%
    Adults: Copay $25
(Below 19 yr/Copay$0)		 Copay $35.00 Copay $45.00 Patient Pays 100%
Poverty Level Family Size SF Plan A SF Plan B SF Plan C  
10,830 1 0 to 10,830 10,831 to 16,245 16,246 21,660 Over 21,661
14,570 2 0 to 14,570 14,571 to 21,855 21,856 29,140 Over 29,141
18,310 3 0 to 18,310 18,311 to 27,465 27,466 36,620 Over 36,621
22,050 4 0 to 22,050 22,051 to 33,075 33,076 44,100 Over 44,101
25,790 5 0 to 25,790 25,791 to 38,685 38,686 51,580 Over 51,581
29,530 6 0 to 29,530 29,531 to 44,295 44,296 59,060 Over 59,061
33,270 7 0 to 33,270 33,271 49,905 49,906 66,540 Over 66,541
37,010 8* 0 to 37,010 37,011 55,515 55,516 74,020 Over 74,021

* For family units with more than 8 members, add $3,740 for each additional member

Discounted fees are contingent upon proof of income and cannot be authorized without such proof. Completed income tax returns are the preferred acceptable proof of income. Any variances from this policy must be approved by the discount program Specialist in advance.


Pharmacy

    < 100-200% of Poverty Level > 200% of Poverty Level
    Cost + $11.00 Dispensing Fee Patient Pays 100%
POVERTY LEVEL Family Size SFS A, B, C  
10,830 1 0 to 21,660 Over 21,661
14,570 2 0 to 29,140 Over 29,141
18,310 3 0 to 36,620 Over 36,621
22,050 4 0 to 44,100 Over 44,101
25,790 5 0 to 51,580 Over 51,581
29,530 6 0 to 59,060 Over 59,061
33,270 7 0 to 66,540 Over 66,541
37,010 8* 0 to 74,020 Over 74,021

For family units with more than 8 members, add $3,740 for each additional member.

Discounted fees are contingent upon proof of income and cannot be authorized without such proof. Completed income tax returns are the preferred acceptable proof of income. Any variances from this policy must be approved by the discount program Specialist in advance.

Discount program PATIENTS PAY: Prescription Cost + $11 Dispensing Fee Only


Dental

    < 100% of Poverty Level 100-150% of Poverty Level 151-200% of Poverty Level > 200%
    Below 19 yr/Copay $0     Patient Pays 100%
POVERTY LEVEL Family Size SFS A SFS B SFS C  
10,830 1 0 to 10, 830 10,831 16,245 16,246 21,660 Over 21,661
14,570 2 0 to 14,570 14,571 21,855 21.856 29,140 Over 29,141
18,310 3 0 to 18,310 18,311 27,465 27,466 36,620 Over 36,621
22,050 4 0 to 22,050 22,051 33,075 33,076 44,100 Over 44,101
25,790 5 0 to 25,790 25,791 38,685 38,686 51,580 Over 51,581
29,530 6 0 to 29,530 29,531 44,295 44,296 59,060 Over 59,061
33,270 7 0 to 33,270 33,271 49,905 49,906 66,540 Over 66,541
37,010 8* 0 to 37,010 37,011 55,515 55,516 74,020 Over 74,021

* For family units with more than 8 members, add $3,740 for each additional member.

RAISE Clinic patients are eligible to receive dental services up to $1,000 per year without copay. After reaching services that total $1,000 RAISE Clinic patients who choose to continue to receive dental services, will be expected to pay applicable copay at the time of service. Copay does not apply for HOME Unit patients who are 100% of poverty or below for dental services provided at HOME Unit.

Discounted fees are contingent upon proof of income and cannot be authorized without such proof. Completed income tax returns are the preferred acceptable proof of income. Any variances from this policy must be approved by the discount program Specialist in advance.

COPAY AMOUNTS FOR BASIC DENTAL SERVICES ARE AS FOLLOWS:

  • SFS A = $20
  • SFS B = $30
  • SFS C = $40

BASIC SERVICES INCLUDE:

  • Diagnostic Exams X-rays Cleaning + Filling; Tooth Removal
  • $20, $30 or $40 Copay + Copay applies for each tooth treated

COPAY AMOUNTS FOR DENTURES:

  • $400 - $600 each upper and lower denture