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 discount program application prior to service. Costs will be determined based on household size and income. Find the discount program application here.

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 the link below to see the discount charts.

Discount Program Packet 2013

Medical & Behavioral Health

    < 100% of Poverty Level 101-150% of Poverty Level 151-200% of Poverty Level > 201%
    Adults: Copay $25
(Below 19 yr/Copay$0)		 Copay $35.00 Copay $45.00 Patient Pays 100%
Poverty Level Family Size Level A Level B Level C Level D
11,490 1 0 to 11,490 11,491 to 17,235 17,236 to 22,980 Over 22,981
15,510 2 0 to 15,510 15,511 to 23,265 23,266 to 31,020 Over 31,021
19,530 3 0 to 19,530 19,531 to 29,295 29,296 to 39,060 Over 39,061
23,550 4 0 to 23,550 23,551 to 35,325 35,326 to 47,100 Over 47,101
27,570 5 0 to 27,570 27,571 to 41,355 41,356 to 55,140 Over 55,141
31,590 6 0 to 31,590 21,591 to 47,385 47,386 to 63,180 Over 63,181
35,610 7 0 to 35,610 35,611 to 53,415 53,416 to 71,220 Over 71,221
39,630 8* 0 to 39,630 39,631 to 59,445 59,446 to 79,260 Over 79,261

* For family units with more than 8 members, add $4,020 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 > 201% of Poverty Level
    Cost + $11.00 Dispensing Fee Patient Pays 100%
POVERTY LEVEL Family Size Level A, B, C Level D
11,490 1 0 to 22,980 Over 22,981
15,510 2 0 to 31,020 Over 31,021
19,530 3 0 to 39,060 Over 39,061
23,550 4 0 to 47,100 Over 47,101
27,570 5 0 to 55,140 Over 55,141
31,590 6 0 to 63,180 Over 63,181
35,610 7 0 to 71,220 Over 71,221
39,630 8* 0 to 79,260 Over 79,261

For family units with more than 8 members, add $4,020 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 101-150% of Poverty Level 151-200% of Poverty Level > 201%
    Below 19 yr/Copay $0     Patient Pays 100%
POVERTY LEVEL Family Size Level A Level B Level C Level D
11,490 1 0 to 22,980 Over 22,981
15,510 2 0 to 31,020 Over 31,021
19,530 3 0 to 39,060 Over 39,061
23,550 4 0 to 47,100 Over 47,101
27,570 5 0 to 55,140 Over 55,141
31,590 6 0 to 63,180 Over 63,181
35,610 7 0 to 71,220 Over 71,221
39,630 8* 0 to 79,260 Over 79,261

* For family units with more than 8 members, add $4,020 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:

  • Level A = $60
  • Level B = $70
  • Level C = $80

BASIC SERVICES INCLUDE:

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

COPAY AMOUNTS FOR DENTURES:

  • $700 - $900 each upper and lower denture

EMERGENCY DENTAL SERVICES:

  • NHS patients with current Discount Program status:
  • Emergency Diagnostic Exam (Includes X-ray) + Copay for each tooth.
  • Copay $60, $70 or $80 + Extraction copay $60 per tooth.

Other dental services are also available. Your Dentist will discuss the cost of each procedure with you prior to services being provided.