Insurance and Payment Options at Crossover Health Services (CHS)
At CHS, we accept a variety of insurance plans to ensure our patients receive the care they need. Our accepted plans include select Medicaid, Medicare, private commercial insurance, and Affordable Care Act (ObamaCare) plans. If you do not have insurance, our Outreach & Enrollment Specialists are here to assist you. Call 872-588-3100 to get help signing up for Medicaid or a subsidized ObamaCare plan.
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2024 CROSSOVER HEALTH SERVICES SLIDING FEE SCHEDULE / POVERTY GUIDELINES | ||||||
Federal Register | ||||||
NOMINAL - A | B | C | D | E | F | |
# In Family | </=100% | 101-125% | 126-150% | 151-175% | 176-200% | >200% |
1 | $0 | 15,061 | 18,826 | 22,591 | 26,356 | $30,121.00 |
$15,060 | 18,825 | 22,590 | 26,355 | 30,120 | ||
2 | $0 | 20,441 | 25,551 | 30,661 | 35,771 | $40,881.00 |
$20,440 | 25,550 | 30,660 | 35,770 | 40,880 | ||
3 | $0 | 25,821 | 32,276 | 38,731 | 45,186 | $51,641.00 |
$25,820 | 32,275 | 38,730 | 45,185 | 51,640 | ||
4 | $0 | 31,201 | 39,001 | 46,801 | 54,601 | $62,401.00 |
$31,200 | 39,000 | 46,800 | 54,600 | 62,400 | ||
5 | $0 | 36,581 | 45,726 | 54,871 | 64,016 | $73,161.00 |
$36,580 | 45,725 | 54,870 | 64,015 | 73,160 | ||
6 | $0 | 41,961 | 52,451 | 62,941 | 73,431 | $83,921.00 |
$41,960 | 52,450 | 62,940 | 73,430 | 83,920 | ||
7 | $0 | 47,341 | 59,176 | 71,011 | 82,846 | $94,681.00 |
$47,340 | 59,175 | 71,010 | 82,845 | 94,680 | ||
8 | $0 | 52,721 | 65,901 | 79,081 | 92,261 | $105,441.00 |
$52,720 | 65,900 | 79,080 | 92,260 | 105,440 |
For each additional family member in the nominal charge category over 8, add $5,140.
REMEMBER – All family income is to be included. Income is the AMOUNT EARNED BEFORE TAXES ARE DEDUCTED.
To determine the amount the patient is responsible for:
Match the number reported living at home with the “number in family” category above.
Move across the scale until the yearly income corresponds with the income category.
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FEE SCHEDULE FOR MEDICAL SERVICES | ||||||
NOMINAL - A | B | C | D | E | F | |
Amount Patient Pays | $25 | $30 | $35 | $40 | $45 | Full Price |
FEE SCHEDULE FOR PHARMACY DISPENSING FEES | ||||||
NOMINAL - A | B | C | D | E | F | |
Amount Patient Pays | $1 | $2 | $4 | $6 | $8 | $10 |
Affordable Care for All
For patients without insurance, CHS offers medical visits starting at $30, based on a sliding scale that considers income and family size. Payment is expected at the time of service, and we accept cash, check, Visa, MasterCard, and Discover. Please note that not having payment at the time of service may result in your appointment being rescheduled.
Health Insurance Plans We Accept
CHS accepts many insurance plans, including:
Medicaid (must be assigned to CHS as PCP):
- Blue Cross Blue Shield (BCBS)
- CountyCare
- Aetna Better Health
- Molina
- Meridian (including YouthCare)
Medicaid-Medicare Plans (MMAI) (must be assigned to CHS as PCP):
- Blue Cross Blue Shield (BCBS)
- Humana
- Meridian
- Aetna Better Health
- Molina
Medicare (HMOs must be assigned to CHS as PCP):
- Medicare (the “red, white, and blue card”)
- Blue Cross Blue Shield (BCBS) MA PPO/HMO
- Humana MA PPO/HMO
- United Healthcare (UHC) MA PPO
- WellCare MA HMO and PPO
- CCAI / ClearSpring MA HMO
- MoreCare
- Meridian
- Allwell
- Aetna MA PPO/HMO
Commercial (HMOs must be assigned to CHS as PCP):
- Blue Cross Blue Shield (BCBS) PPO/HMO
- Ambetter
- Molina
- United Healthcare PPO
- Cigna
- UMR
- Humana PPO/HMO/POS
- Allied Benefits Systems
- Century Healthcare
- Healthlink
- Tricare Champus
- Aetna PPO/HMO/POS
For any questions about the insurance plans we accept, please call our office at 918-398-9460. This list is updated regularly to provide the most current information.
Good Faith Estimate (GFE)
You have the right to receive a “Good Faith Estimate” detailing the costs of your medical care. Healthcare providers must provide this estimate for patients without insurance or not using insurance. The provided price schedule is our Good Faith Estimate of your expected costs for an appointment at CHS. Please note that the Good Faith Estimate does not include unknown or unexpected costs that may arise during treatment.
If you receive a bill at least $400 more than your Good Faith Estimate, you can dispute the bill. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.