ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES

Size: px
Start display at page:

Download "ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES"

Transcription

1

2 ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES PACKAGE NAME TOTAL PACKAGE COST Prevention Package Male (below 40 years old) 26,010 Prevention Package Female (below 40 years old) 30,600 Prevention Package Female (below 40 years old) Recommended for patients who have undergone Total Abdominal Hysterectomy with Bilateral Salphingo-Oophorectomy (TAHBSO) 26,010 Awareness Package Female (age years old) 32,130 Awareness Package Male (age years old) 33,660 Awareness Package Female 2 (age years old) Recommended for patients who have undergone Total Abdominal Hysterectomy with Bilateral 29,070 Salphingo-Oophorectomy (TAHBSO) Maintenance Package Male (age 50 years old and above) 57,630 Maintenance Package Female (age 50 years old and above) 59,160 Maintenance Package Female 2 (age 50 years old and above) Recommended for patients who have undergone Total Abdominal Hysterectomy with Bilateral 55,080 Salphingo-Oophorectomy (TAHBSO) Maintenance Package Male (age 70 years old and above) 57,936 Maintenance Package Female (age 70 years old and above) 59,772 Maintenance Package Female 2 (age 70 years old and above) Recommended for patients who have undergone Total Abdominal Hysterectomy with Bilateral 55,590 Salphingo-Oophorectomy (TAHBSO) Corporate Fitness Package (Male/Female) 13,500 Basic Package or Pre-Employment Package 2,500 Adult Wellness Package 5,000 Expanded Weight Management 4,000 A1. ROOM RATES FOR EXECUTIVE HEALTH SCREENING PACKAGES ROOM TYPES RATE Presidential Suites 21,975 Executive Private Room (11F) 7,800 Junior Executive Private 6,000 Standard Private Room 3,630 (For inpatient availments, kindly include the rate of the Private Room to the package price).

3 ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM B. DERMATOLOGY LASER & LIGHT CENTER LASER PROCEDURE TOTAL SELLING PRICE PHOTOTHERAPY TOTAL SELLING PRICE ULTRAVIOLET UVB < 15 minutes 914 UVB minutes 1,028 UVB > 30 minutes 1,127 Ultraviolet Package 1 (6 sessions) 5,333 Ultraviolet Package 2 (12 sessions) 10,394 Ultraviolet Package 3 (15 sessions) 12,655 UV HANDPIECE UV Hand Piece 1-3 shots 584 UV Hand Piece 4-6 shots 1,169 UV Hand Piece 7-10 shots 1,952 UV Hand Piece Package of 15 shots 2,926 UV Hand Piece Package of 20 shots 3,862 UV Hand Piece Package of 25 shots 4,916 RADIOFREQUENCY AND ULTRASOUND TOTAL SELLING PRICE Tripollar Non-invasive Fat Reduction Individual Session 2,500 Cavitalipo Individual Session 1,250

4 ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM C. CANCER SCREENING PACKAGES SCREENING TOTAL SELLING PRICE Ovarian Cancer Surveillance 5,000 Uterine Cancer Surveillance 5,000 Cervical Cancer Screening Liquid Based 2,800 Cervical Cancer Screening Conventional 1,600 Colon Rectal and Rectal 4,200 Lung Cancer Screening 9,300 Prostate Cancer Screening 7,000 Fine Needle Biopsy General 12,000 Core Needle Biopsy with Ultrasound Guided General 20,000 Core Needle Biopsy without Ultrasound General 17,500 Prostate Biopsy Package 38,000 Use of BK Ultrasound with Linear and Prostate Probe 7,600 Procedure Facility Fee 500 ENT TOTAL SELLING PRICE Use of ENT Workstation for Ear Irrigation 800 Use of ENT Workstation for Nasopharyngeal Examination 3,500 Use of ENT Workstation for Laryngeal Examination 3,500 Note: The prices do not include additional, necessary charges that might be incurred in the conduct of the procedure.

5

6

7 DE LOS SANTOS MEDICAL CENTER PACKAGES AVAILABLE AT 0% INSTALLMENT UP TO 6 MONTHS TERM A. Hospital Bill Only MEDICAL PACKAGE NAME Amount for 0% Installment Inclusions BILATERAL HIP REPLACEMENT 67,800 Hospital Bill Only; Net of Philhealth BILATERAL KNEE REPLACEMENT 75,000 Hospital Bill Only; Net of Philhealth EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) 1ST TWO SESSIONS 6,400 Hospital Bill Only; Net of Philhealth UNILATERAL HIP REPLACEMENT 53,000 Hospital Bill Only; Net of Philhealth UNILATERAL KNEE REPLACEMENT 60,200 Hospital Bill Only; Net of Philhealth LAPAROSCOPIC CHOLECYSTECTOMY PACKAGE 14,000 Hospital Bill Only; Net of Philhealth OPEN HYSTERECTOMY 17,000 Hospital Bill Only; Net of Philhealth OPERATIVE HYSTEROSCOPY 18,400 Hospital Bill Only; Net of Philhealth CAESAREAN SECTION ONLY 22,350 Hospital Bill Only; Net of Philhealth NSD (NORMAL DELIVERY) ONLY BY EPIDURAL ANESTHESIA 20,750 Hospital Bill Only; Net of Philhealth B. Full Package MEDICAL PACKAGE NAME Amount for 0% Installment Inclusions COLONOSCOPY WITH ANESTHESIA 9,780 Hospital Bill and PF Inclusive; Net of Philhealth EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) 1ST TWO SESSIONS 34,600 Hospital Bill and PF Inclusive; Net of Philhealth GASTROSCOPY WITH ANESTHESIA 6,960 Hospital Bill and PF Inclusive; Net of Philhealth UNILATERAL HIP REPLACEMENT 216,800 Hospital Bill and PF Inclusive; Net of Philhealth UNILATERAL KNEE REPLACEMENT 224,000 Hospital Bill and PF Inclusive; Net of Philhealth LAPAROSCOPIC CHOLECYSTECTOMY PACKAGE 49,000 Hospital Bill and PF Inclusive; Net of Philhealth OPERATIVE HYSTEROSCOPY 46,400 Hospital Bill and PF Inclusive; Net of Philhealth

8

9 DR. JESUS C. DELGADO MEMORIAL HOSPITAL SERVICES AVAILABLE AT 0% INSTALLMENT UP TO 12 MONTHS TERM A. PATIENT AND DIAGNOSTIC SERVICES PACKAGE NAME Pink Essential or Blue Essential General Diagnostics: - CBC, Urinalysis, Fecalysis with occult blood sugar, Uric Acid, BUN, Creatinine, Cholesterol, HDL-C, SGPT, SGOT, B1B2, TP A/G, Alkaline Phosphatase, Triglycerides, Hepa B Ag, Anti-HCV, Chest X-ray PA/ Lateral, ECG, Whole Abdomen Ultrasound, 2D ECHO with Doppler - Women include Pelvic Ultrasound - Male KUB include Prostate Ultrasound Birthday Package: - CBC, Urinalysis, Total Cholesterol, Blood Sugar, Blood Typing, Chest X-ray PA/Lateral, ECG, Whole Abdomen Ultrasound, 2D ECHO with Doppler - Women include Pelvic Ultrasound - Male KUB include Prostate Ultrasound TOTAL PACKAGE COST 11,265 7,825 Thyroid Check: - FT3, FT4, T3, T4, TSH, Thyroid Ultrasound Cardiac Check: - Total Cholesterol, HDL/LDL, Triglycerides, Chest X-ray PA/Lateral, ECG, 2D ECHO with Doppler 5,275 5,590

10 DR. JESUS C. DELGADO MEMORIAL HOSPITAL SERVICES AVAILABLE AT 0% INSTALLMENT UP TO 12 MONTHS TERM B. MATERNITY/PREGNANCY PACKAGES PACKAGE NAME Normal Delivery (Spinal): a. with PhilHealth - Ward - Semi Private - Private b. without PhilHealth - Ward - Semi Private - Private Normal Delivery (Epidural): a. with PhilHealth - Ward - Semi Private - Private b. without PhilHealth - Ward - Semi Private - Private Caesarean Section Delivery: a. with PhilHealth - Ward - Semi Private - Private b. without PhilHealth - Ward - Semi Private - Private RATE (HOSPITAL BILL) 16,900 18,300 21,400 20,950 22,350 25,450 20,100 21, ,150 25,650 28,750 20,100 22,000 26,100 32,550 34,450 38,550 Inclusions: 1. All OB Packages include: a. Operating Room/ Delivery Room Fees b. Labor Room/ Recovery Room Fees c. Specialized Newborn Care Unit Room Fees d. Patients Room Fees 3D/2N for Normal Delivery, 5D/4N for Caesarean Section e. Medications, Supplies and Laboratory Fees f. Expanded Newborn Screening Test g. Hepa B/ BGC Vaccines (newborn only) 2. Normal Delivery Packages include Assisted Vaginal Delivery 3. Caesarean Section Delivery include Bilateral Tubal Ligation (BTL) 4. Caesarean Section Delivery will only apply to elective and repeat CS Cases 5. Professional Fees of the OB, Pediatrician and Anesthesiologist are NOT included. 6. Rates are based on the usual procedures; actual billing may vary according to varying causes, i.e, doctor's recommendations, emergency situations, required medication.

11 DR. JESUS C. DELGADO MEMORIAL HOSPITAL SERVICES AVAILABLE AT 0% INSTALLMENT UP TO 12 MONTHS TERM C. MINIMALLY INVASIVE SURGERY PACKAGE NAME MIS Laparoscopic Cholecystectomy Package: - IMISA Laparoscopic Cholecystectomy Fee - Room and Board fees 3 days/ 2 nights Private Room - Pharmacy Products - Operating Room and Recovery Fees - Central Sterile Supply Room (CSSR) - Laboratory Fees Specimen - Medical Records - Professional fees of Surgeons and Anesthesiologist are INCLUDED - PhilHealth Benefit already applied to package rate - Rate only applicable in Delgado Clinic RATE 85,000 D. PRENATAL ACCESS CARD PRODUCT First Time Mom Unit ACCESS CARD - Pharmacy Products Iron & Multivitamins - Laboratory Tests: a. CBC Test b. Urinalysis c. HbsAG Test d. Blood Typing Test - Radiology and Ultrasound Services a. Transvaginal b. Pelvic Congenital Scan c. Biophysical - Prenatal Checkup, Consultation and Immunization a. 12 Visits Prenatal Consultation with Doctor b. Immunization TdaP (Adult Tetanus, Diphtheria, Pertussis Vaccine) - Ambulance Service for Child Delivery Case only - Post Natal Product Kit from Johnson & Johnson Availment after child Delivery RATE 12,850

12

13

14

15

16

17

18

19 VRP MEDICAL CENTER

20

Patient Price Information List

Patient Price Information List In compliance with federal law, Bradford Regional Medical Center is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other

More information

Room and Board Per Day Charges

Room and Board Per Day Charges In compliance with state law, Olean General Hospital is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other procedures.

More information

Concord Hospital Cost of Care Estimates

Concord Hospital Cost of Care Estimates Hospital Departments Laboratory Services Basic Metabolic Panel (BMP)(80048) $88 N/A $88 $35 Blood draw (36415) $29 N/A $29 $12 Complete blood cell count (CBC)(85025) $88 N/A $88 $35 Comprehensive Metabolic

More information

OUTPATIENT Surgery Estimates APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.

OUTPATIENT Surgery Estimates APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973. OUTPATIENT Surgery Estimates 2019 APPENDECTOMY-laparoscopic: $17,852.53 Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.96 BILATERAL TUBAL LIGATION Laparoscopic using clips: $17,193.28

More information

Kaiser Permanente 2015 Sample Fee List 1

Kaiser Permanente 2015 Sample Fee List 1 Kaiser Permanente 2015 Sample Fee List 1 SOUTHERN CALIFORNIA Knowing how much you can expect to pay for care and services can give you peace of mind. This Sample Fee List shows you estimated charges for

More information

MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers.

MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers. January 2012 What is MyCare Advisor SM? Thinking about health care services in a different light is the first step to educating yourself on health care costs. Capital BlueCross is taking the second step

More information

2017 Patient Pricelist

2017 Patient Pricelist 2017 Patient Pricelist Attached are the most frequent charges at St. Elizabeth Healthcare. All patients are charged the same irrespective of one s ability to pay. The patient s responsibility may vary

More information

Hospital Charge Information List

Hospital Charge Information List Hospital Charge Information List To better inform our patients, Norton Healthcare has prepared the following price list of our charges for some of the more common reasons for a hospital visit. They include

More information

F. F. Thompson Hospital Hospital Charges (Price Line Common Requested)

F. F. Thompson Hospital Hospital Charges (Price Line Common Requested) F. F. Thompson Hospital Hospital s (Price Line Common Requested) Contact the Price Line for Verification and Tests/Procedures Not Listed (585)396-6194 Lab Tests Venipuncture $8.00 Lipid Panel $60.00 BMP

More information

Contact the Price Line for Verification and Tests/Procedures Not Listed (585)

Contact the Price Line for Verification and Tests/Procedures Not Listed (585) F. F. Thompson Hospital Hospital s (Price Line Common Requested) Contact the Price Line for Verification and Tests/Procedures Not Listed (585)396-6194 Lab Tests Venipuncture $8.00 Lipid Panel $55.00 BMP

More information

PREVENTIVE CARE RECOMMENDATIONS Detailed descriptions

PREVENTIVE CARE RECOMMENDATIONS Detailed descriptions PREVENTIVE CARE RECOMMENDATIONS Detailed descriptions How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Not all items on this list are

More information

Kaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges.

Kaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. Kaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. NORTHERN CALIFORNIA As your partner in health, we want to help you manage your

More information

Sutter Health Plus Effective for Calendar Year 2015

Sutter Health Plus Effective for Calendar Year 2015 Sutter Health Plus Effective for Calendar Year 2015 CPTs CPT Descriptions 2015 Cost Under Deducible (Single Unit) Doctor's Office Visit for a New Patient (Also Urgent Care) 99201 Low Level Visit $99.00

More information

QUALITY HEALTHCARE MEN'S PHYSICAL CHECK-UP ELIGIBLE TO EARN ASIA MILES

QUALITY HEALTHCARE MEN'S PHYSICAL CHECK-UP ELIGIBLE TO EARN ASIA MILES Detailed Medical History Physical Examination Visual Acuity Body Mass Index & Waist Circumference Package name: PLATINUM EXECUTIVE PREMIUM ELITE CS Code CN72 CN70 CN68 CN66 Screening Purpose Package Price

More information

Service Bundle 1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6

Service Bundle 1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6 1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6 Birth Control - Cut and Tie Tubes 7 Bladder Exam - Cystoscopy 8 Bunion

More information

Kaiser Permanente 2013 Sample Fee List

Kaiser Permanente 2013 Sample Fee List Kaiser Permanente 2013 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care

More information

(PE-HS1, HS2, HS3, PE133A & PE134A)

(PE-HS1, HS2, HS3, PE133A & PE134A) (PE-HS1, HS2, HS3, PE133A & PE134A 2018 1 2 2018 12 31 ( HS1 4,645 1,800 HS1 X HK$4,645 HK$1,800 (HS3 7,580 4,200 ( HS3 X HK$7,580 : HK$4,200 (HS2 2,400 4,470 ( HS2 Rh X (40 (40 X HK$4,470 HK$2,400 (PE133A

More information

SCHEDULE OF BENEFITS PLAN M7

SCHEDULE OF BENEFITS PLAN M7 SCHEDULE OF BENEFITS PLAN M7 Effective September 1, 2017 When you need to see a physician, a physician network, PHCS, is utilized for all physician services (primary care and specialists) and ancillary

More information

CORPORATE RATES $88.00Nett $160.50Nett. RECOMMENDED FOR All All

CORPORATE RATES $88.00Nett $160.50Nett. RECOMMENDED FOR All All SCHEDULE OF RATES I) Basic Health Screening Services To be done at Healthway GP clinics Pink Package Silver Package $88.00Nett $160.50Nett * Prices listed above exclude prevailing GST rates. Package Details:

More information

2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest.

2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. 2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date

More information

Patient Price Information List

Patient Price Information List Patient Price Information List In compliance with state law, Morrow County Hospital is providing this price list containing our charges for room and board, Emergency Department, operating room, physical

More information

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 To help our patients make informed health care decisions, Eastern Maine Medical Center has provided pricing

More information

Health Screening for Nanyang Technological University (NTU)

Health Screening for Nanyang Technological University (NTU) Health Screening for Nanyang Technological University (NTU) Health screening packages are offered at corporate rates to NTU staff and dependents at the indicated clinics. Please refer to this document

More information

2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest.

2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. 2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date

More information

SCHEDULE OF BENEFITS PLAN H1

SCHEDULE OF BENEFITS PLAN H1 SCHEDULE OF BENEFITS PLAN H1 Effective June 1, 2018 This Plan is a High Deductible Health Plan (HDHP), designed to qualify for use with a Health Savings Account (HSA). All charges except charges for preventive

More information

99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30

99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30 MILBRIDGE MEDICAL CENTER FAMILY PRACTICE 24 SCHOOL ST, MILBRIDGE ME 99202 Office visit new patient, problem expanded $140.90 99406 Smoking and tobacco use cessation counseling visit $37.30 99397 Preventive

More information

Sage Program Reimbursement Rates (Effective Jan 1, 2018 through Dec 31, 2018)

Sage Program Reimbursement Rates (Effective Jan 1, 2018 through Dec 31, 2018) Sage Program Reimbursement Rates Code Description of Service Allowable Rates New Patient 99201 History, exam, straight forward decision-making; 10 $44.47 99202 Expanded history; exam, straightforward decision-making;

More information

2019 Patient Price Information List

2019 Patient Price Information List 2019 Patient Price Information List In compliance with state law, Genesis Healthcare System is providing this price list containing our charges for room and board, emergency department, operating room,

More information

2016 Preventive Health Care Guidelines. Free preventive care to help you be your healthiest.

2016 Preventive Health Care Guidelines. Free preventive care to help you be your healthiest. 2016 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. We want to help you be your healthiest. That s why we recommend over 30 free preventive care services for kids,

More information

Government Pilot Programme Fee and Charges by All Room Class

Government Pilot Programme Fee and Charges by All Room Class (1) Charges on Ward Accommodation Version 1.4 Daily Room Rate Room Rate Standard Semi- Companion Bed (per head) General Ward - Room 2,500-45,000 350 General Ward - Standard / Semi- Room 4-6 Bedded Room:

More information

INDIANA HEALTH COVERAGE PROGRAMS

INDIANA HEALTH COVERAGE PROGRAMS INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Medical Review Team s Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on

More information

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES PROCEDURE CHARGES / HOSPITAL may vary depending on circumstances. Prices subject to change. LABORATORY PROCEDURES Basic Metabolic Panel $112.00 80048 Comprehensive Metabolic Panel $140.00 80053 UA Micro

More information

HEALTH SCREEN CARE. VIGNE Healthcare provides a comprehensive Health Screening Package of EXCLUSIVE HEALTH SCREENING EXPERIENCE

HEALTH SCREEN CARE. VIGNE Healthcare provides a comprehensive Health Screening Package of EXCLUSIVE HEALTH SCREENING EXPERIENCE HEALTH SCREEN CARE VIGNE Healthcare provides a comprehensive Health Screening Package of Silver Gold Platinum Cancer EXCLUSIVE HEALTH SCREENING EXPERIENCE Meet & Greet Medical Review with Doctor Appointment

More information

DETAILED 2014 PREVENTIVE CARE SERVICES

DETAILED 2014 PREVENTIVE CARE SERVICES DETAILED 2014 PREVENTIVE CARE SERVICES How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Your provider determines whether services delivered

More information

SCHEDULE OF BENEFITS PLAN C

SCHEDULE OF BENEFITS PLAN C SCHEDULE OF BENEFITS PLAN C Effective September 1, 2016 All benefits, unless otherwise specified, are based on Usual, Customary and Reasonable (UCR) charges, or the network contracted amounts, and are

More information

Patient Price Information List January 1, 2018

Patient Price Information List January 1, 2018 In compliance with state law, Western Reserve Hospital is providing this price list containing our charges for Room and Board, Emergency Department, Operating Room, Physical Therapy, Pain Medicine and

More information

SCHEDULE OF BENEFITS PLAN M7

SCHEDULE OF BENEFITS PLAN M7 SCHEDULE OF BENEFITS PLAN M7 Effective September 1, 2016 All benefits, unless otherwise specified, are based on Usual, Customary and Reasonable (UCR) charges, or the network contracted amounts, and are

More information

passport The Enlightened Woman s to better health

passport The Enlightened Woman s to better health passport The Enlightened Woman s to better health table of contents 2 My Information 3 Health Screening Schedule 4 Heart Health at a Glance 5 Preventive Health Screenings at a Glance 6 My Health Screenings

More information

Fullerton Healthcare Screening Centres

Fullerton Healthcare Screening Centres Fullerton Healthcare Screening Centres Fullerton Healthcare Screening Centre @ Ngee Ann City The Penthouse, #26-02 Ngee Ann City Tower B, 391B Orchard Road, Singapore 238874 Operating hours: Monday - Friday

More information

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits Be Healthy Wellness Benefits Be Healthy Using Your Wellness Benefits Helping You Stay Healthy Health Alliance emphasizes prevention through comprehensive wellness coverage. We support members throughout

More information

Hydronephrosis. What is hydronephrosis?

Hydronephrosis. What is hydronephrosis? What is hydronephrosis? Hydronephrosis Hydronephrosis describes the situation where the urine collecting system of the kidney is dilated. This may be a normal variant or it may be due to an underlying

More information

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits Be Healthy Wellness Benefits Be Healthy Using Your Wellness Benefits Helping You Stay Healthy Health Alliance emphasizes prevention through comprehensive wellness coverage. We support members throughout

More information

Wooster Community Hospital

Wooster Community Hospital Wooster Community Hospital For more information call 1761 Beall Avenue, Wooster, OH 330.263.8158 Discounts Do Not Apply to Packaged s Below 25% discount if paid on the date of the hospital statement (approximately

More information

Package price for treatment of cardiac disease patients

Package price for treatment of cardiac disease patients Package price for treatment of cardiac disease patients You can be confident about our Heart disease treatment standards with these packages; it can help you control the costs Procedure 1. Conventional

More information

Clinical Breast Examination N/A Yes Screening Mammogram $ TC $ 43.56

Clinical Breast Examination N/A Yes Screening Mammogram $ TC $ 43.56 For the Period 07/01/2015 through 06/30/2016 Revised: 10/09/2015 Breast Procedures (1) Screening Clinical Breast Examination N/A Screening Mammogram 77057 $ 78.38 77057-TC $ 43.56 77057-26 $ 34.82 Follow-Up

More information

(HANG1, HANG2, HANG3, HANG4, HANG5)

(HANG1, HANG2, HANG3, HANG4, HANG5) HANG1, HANG2, HANG3, HANG4, HANG5 2018 12 31 HANG1 4,390 1,600 HANG1 X Rh HK$4,390 HK$1,600 MKT-355 2016.01 HANG2 5,970 2,400 HANG2 X Rh HK$5,970 : HK$2,400 MKT-355 2016.01 HANG3 9,715 3,980 HANG3 X Rh

More information

AXA MANSARD PERSONAL PLATINUM PLUS PLAN Cover & Exclusions

AXA MANSARD PERSONAL PLATINUM PLUS PLAN Cover & Exclusions AXA MANSARD PERSONAL PLATINUM PLUS PLAN Cover & Exclusions This plan covers the following services; EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required. EVACUATION:

More information

12% savings on selected Men/Women Deluxe Health & Wellbeing Physical Check Up Plans

12% savings on selected Men/Women Deluxe Health & Wellbeing Physical Check Up Plans 12% savings on selected Men/Women Deluxe Health & Wellbeing Physical Check Up Plans Recommended for people aged > 40 Medical History Physical Examination BMI, Water Hydration & Body Fat %, Waist Circumference

More information

Wellness is a state of complete harmony of BODY, MIND & SPIRIT

Wellness is a state of complete harmony of BODY, MIND & SPIRIT Wellness is a state of complete harmony of BODY, MIND & SPIRIT Index About Us Specialty Clinics Corporate Wellness Jehangir Silver & Gold Jehangir Platinum (Whole Body Screening) Jehangir Comprehensive

More information

Prevents future health problems. You receive these services without having any specific symptoms.

Prevents future health problems. You receive these services without having any specific symptoms. PREVENTIVE CARE To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled

More information

Golden Plains Community Hospital

Golden Plains Community Hospital Prices The prices listed below are current for February 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an estimate for a service not listed

More information

EXECUTIVE HEALTH SCREENING Exclusive Preferred Rates for Mercer Clients

EXECUTIVE HEALTH SCREENING Exclusive Preferred Rates for Mercer Clients EXECUTIVE HEALTH SCREENING Exclusive Preferred Rates for Mercer Clients 1 Bringing you the best in health screening in Singapore GOLD AWARD Best Corporate Healthcare Provider, 2015 HR Vendors Of The Year

More information

Golden Plains Community Hospital

Golden Plains Community Hospital Golden Plains Community Hospital Prices The prices listed below are current for January 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an

More information

Now iknow SM : Frequently Asked Questions

Now iknow SM : Frequently Asked Questions Now iknow SM : Frequently Asked Questions Overview Beginning December 2013, Harvard Pilgrim in partnership with Castlight Health, a leader in health care transparency will introduce a new online health

More information

Patient Health Forms

Patient Health Forms Patient Health Forms All forms MUST be completed and signed prior to seeing the Provider First: M: Last: Email Address: Home Address: Best Phone Number to Reach You: Last 4 of your social security #: Marital

More information

Radiological / Imaging Services Fee Schedule Provider Specialty 093

Radiological / Imaging Services Fee Schedule Provider Specialty 093 CODE MOD Description 70250 TC RADIOLOGIC EXAM SKULL $18.30 $18.30 7/1/2012 71010 TC RADIOLOGIC EXAM, CHEST $11.41 $11.41 7/1/2012 71020 TC RADILOGICAL EXAM CHEST TWO VIEWS FRONTAL/LATERAL $15.76 $15.76

More information

Patient Price Information List

Patient Price Information List Patient Price Information List In compliance with state law, Wayne HealthCare is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical

More information

CONSUMER PRICE GUIDE

CONSUMER PRICE GUIDE 1 CONSUMER PRICE GUIDE Revised January 1 st 2017 General Information Memorial Hospital abides by all state and federal charging and billing regulations for hospital based healthcare services. The following

More information

Summa Barberton Hospital Usual and Customary Charges for Selected Procedures Patient Price List

Summa Barberton Hospital Usual and Customary Charges for Selected Procedures Patient Price List In compliance with state law, Summa Barberton Hospital publishes charges for room and board, emergency department, labor and delivery, operating room, lab, radiology and other procedures. This publication

More information

Healthcare Reform Preventive Services

Healthcare Reform Preventive Services An Independent Licensee of the Blue Cross and Blue Shield Association The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue

More information

CHAPTER 1 SECTION 10.1 TRICARE STANDARD - CLINICAL PREVENTIVE SERVICES TRICARE/CHAMPUS POLICY MANUAL M JUNE 25, 1999 MEDICAL SERVICES

CHAPTER 1 SECTION 10.1 TRICARE STANDARD - CLINICAL PREVENTIVE SERVICES TRICARE/CHAMPUS POLICY MANUAL M JUNE 25, 1999 MEDICAL SERVICES TRICARE/CHAMPUS POLICY MANUAL 6010.47-M JUNE 25, 1999 MEDICAL SERVICES CHAPTER 1 SECTION 10.1 Issue Date: April 19, 1983 Authority: 32 CFR 199.4(e)(3)(ii) and (g)(37) I. PROCEDURE CODES 45300, 45330, 45355,

More information

AXA MANSARD PERSONAL GOLD PLAN Cover & Exclusions

AXA MANSARD PERSONAL GOLD PLAN Cover & Exclusions This plan covers the following services; AXA MANSARD PERSONAL GOLD PLAN Cover & Exclusions EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required INTENSIVE CARE (covered

More information

2017 Preventive Health Care Guidelines

2017 Preventive Health Care Guidelines 2017 Preventive Health Care Guidelines NEXT All Adults 4 Women 6 Pregnant Women 8 Children 10 Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date

More information

AVAILABLE CHECK-UP PACKAGES FOR HOSPITALS

AVAILABLE CHECK-UP PACKAGES FOR HOSPITALS Hospital Standart Economic Cardiology Antalya Training & Research Hospital For smokers Pediatric Women under 40 Women over 40 Men under 40 Men over 40 VIP Women X X X Kemer State Hospital X X X X X X X

More information

2014 Preventive Health Care Guidelines. Grandfathered plans. We want to help you be your

2014 Preventive Health Care Guidelines. Grandfathered plans. We want to help you be your 2014 Preventive Health Care Guidelines We want to help you be your Grandfathered plans and women. healthiest because when you re healthy, you can live life to the fullest. That s why we recommend over

More information

LIC Rates List Sr. No

LIC Rates List Sr. No LIC Rates List Sr. No Descrition of tests PSP RATES Full Medical Report (General medical examination covering Height & Weight 1 Sum Insured -upto Rs.15 Lac 80.00 2 Sum Insured Rs.15 Lac to Rs.24,99,999

More information

Call for Appointments

Call for Appointments Ala Carte Pricing For Men and Women Consultation and Full Physical $60 Call 65366418 Doctor Examination Body Height, Weight, Blood Pressure, Pulse Rate, BMI, Waist Circumference Breast examination (Women)

More information

X-Plain Ovarian Cancer Reference Summary

X-Plain Ovarian Cancer Reference Summary X-Plain Ovarian Cancer Reference Summary Introduction Ovarian cancer is fairly rare. Ovarian cancer usually occurs in women who are over 50 years old and it may sometimes be hereditary. This reference

More information

Adult Health History

Adult Health History Patient Name Date of Birth Adult Health History This form will assist us in obtaining a complete medical history and health record on you. By completing this ahead of time it will also simply your visit

More information

To be used for the ease of test requisitioning on select patients only; all components may be ordered separately

To be used for the ease of test requisitioning on select patients only; all components may be ordered separately Panels Section To be used for the ease of test requisitioning on select patients only; all components may be ordered separately ANEMIA 1(I) PANEL (NMC & UMMC) ANEM1(I) S 8.0 ml Large Tests included are:

More information

Room and Board - Per Day Charges

Room and Board - Per Day Charges At Augusta University Health System, we strive to provide the information you need to understand every aspect of your care. In keeping with this promise, AUHS is providing this price list for our services.

More information

ANNUAL HEALTH CHECKUP BASIC HEALTH PACKAGE

ANNUAL HEALTH CHECKUP BASIC HEALTH PACKAGE ANNUAL HEALTH CHECKUP Taking care of your health is our responsibility and to make sure that you remain at a distance from the serious maladies, we also step forward in providing health checkups. This

More information

CPT CODES. Ph: (307) Fax: (307) CATSCAN IV Contrast: 87.00

CPT CODES. Ph: (307) Fax: (307) CATSCAN IV Contrast: 87.00 Ph: (307) 382-4282 Fax: (307) 382-4291 CPT CODES CATSCAN IV Contrast: 87.00 74150 Abdomen w/o contrast $ 809.00 74160 Abdomen w/ contrast $1175.00 w/ contrast: $1262.00 74170 Abdomen w_w/o contrast $1324.00

More information

Have a Health Screening once a year!

Have a Health Screening once a year! Have a Health Screening once a year! It is everybody s wish to be healthy in body and mind. A full Japan Green Medical Centre Health Screening can support you in attaining this goal by comprehensively

More information

Blue represents coding updates. G0389 with diagnosis V81.2, V15.82, or with diagnosis V79.1, or

Blue represents coding updates. G0389 with diagnosis V81.2, V15.82, or with diagnosis V79.1, or An Independent Licensee of the Blue Cross and Blue Shield Association Preventive Care Services The following is a list of preventive services (HCP rider) along with the diagnoses and procedure codes that

More information

NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF BENEFITS SUPREME BENEFITS

NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF BENEFITS SUPREME BENEFITS BENEFIT GUIDE NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF SUPREME IN NETWORK FEATURES Primary Care Physician Not Required 2 Physician Referrals Not Required 2 Out of

More information

Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: 01-January-2014 Review Date: 08-October-2017 Next Review Date: 08-October-2018

Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: 01-January-2014 Review Date: 08-October-2017 Next Review Date: 08-October-2018 MEDICAL DIRECTIVE Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: 01-January-2014 Review Date: 08-October-2017 Next Review Date: 08-October-2018 Sponsoring/Contact Person(s) (name, position,

More information

HEALTH CHECK PACKAGES. An ounce of prevention is better than a pound of care. Benjamin Franklin

HEALTH CHECK PACKAGES. An ounce of prevention is better than a pound of care. Benjamin Franklin HEALTH CHECK PACKAGES An ounce of prevention is better than a pound of care Benjamin Franklin Good Health is not something that you can buy, take care of the one that s gifted to you We live in an era

More information

Subject: Preventive Services Policy Effective Date: 08/2017 Revision Date: 05/2018

Subject: Preventive Services Policy Effective Date: 08/2017 Revision Date: 05/2018 Subject: Preventive s Policy Effective Date: 08/2017 Revision Date: 05/2018 DESCRIPTION The Affordable Care Act (ACA) requires nongrandfathered health plans to cover evidence-based preventive care and

More information

Louisiana Revised Prior Authorization Requirements

Louisiana Revised Prior Authorization Requirements Louisiana Revised Prior Requirements Contact: Ann Kay Logarbo, M.D. Chief Medical Officer, a_logarbo@uhc.com All non-emergency inpatient admissions, including planned surgeries, require prior authorization.

More information

UIB INSURANCE BROKERS (I) (P) LTD

UIB INSURANCE BROKERS (I) (P) LTD INSURANCE BROKERS (I) (P) LTD Insurance Brokers (I) (P) Ltd Unit 5G, 5 th Floor, M-6, Uppal Plaza, Jasola District Centre, New Delhi- 1100026 Web: www.uibgroup.com HEALTH CHECK-UP PROCESS FLOW Annual Health

More information

Coverage for preventive care

Coverage for preventive care Coverage for preventive care Understanding your preventive care coverage Preventive care, like screenings and immunizations, helps you and your family stay healthier and can help lower your overall out-of-pocket

More information

Adult Health History for NEW Patients

Adult Health History for NEW Patients Adult Health History for NEW Patients Your answers on this form will help your health care provider get an accurate history of your medical concerns and conditions. If you are a current patient there is

More information

Schedule of Benefits - CENTRAL HMO Group CITY OF MARSHFIELD Benefit Year: January 1st through December 31st Effective Date: 01/01/2017

Schedule of Benefits - CENTRAL HMO Group CITY OF MARSHFIELD Benefit Year: January 1st through December 31st Effective Date: 01/01/2017 Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

Testing Kits. Pregnancy Test Kits. Hepatitis Test Kits. HIV - 1 & 2 Test Kits

Testing Kits. Pregnancy Test Kits. Hepatitis Test Kits. HIV - 1 & 2 Test Kits Pregnancy Test Kits Sr Item Name Store At Pack Size 1 hcg Card Test 2 hcg Card Test 3 Hope hcg Card Test 4 hcg Dipstick Test 5 LH Surge Card Test 5 T 6 LH Surge Card Test 10 T Hepatitis Test Kits 7 HCsAg

More information

Indemnity PPO Medical Plan Preventive Care Guidelines 2019

Indemnity PPO Medical Plan Preventive Care Guidelines 2019 Indemnity PPO Medical Plan Preventive Care Guidelines 2019 The District Council 16 Northern California Health and Welfare Trust Fund Medical Plan offers 100% coverage for many routine preventive care services

More information

Preventive Services at 100%

Preventive Services at 100% September 1, 2014 Update Preventive Care Services Covered Without Cost-sharing Without Copay, Coinsurance or Deductible The Affordable Care Act (ACA) requires non-grandfathered health plans and policies

More information

University Medical Center at Brackenridge. Gastroenterology Clinic Worksheet

University Medical Center at Brackenridge. Gastroenterology Clinic Worksheet Gastroenterology Clinic Worksheet 1. GI Bleeding (occult or symptomatic) a. CBC b. Iron, Ferritin b. Medication history 2. Iron Deficiency Anemia and no evident source (if no iron deficiency consider hematological

More information

REGISTRATION IS OPEN FOR SPRING SEASON 2017 SPRING SPECIAL OLYMPICS REGISTRATION BOCCE TEAM STARTS 4/4 TRACK STARTS 4/6

REGISTRATION IS OPEN FOR SPRING SEASON 2017 SPRING SPECIAL OLYMPICS REGISTRATION BOCCE TEAM STARTS 4/4 TRACK STARTS 4/6 GUTS March 8, 2017 2017 SPRING SPECIAL OLYMPICS REGISTRATION BOCCE TEAM STARTS 4/4 REGISTRATION IS OPEN FOR SPRING SEASON TRACK STARTS 4/6 We are glad to announce that Union County Special Olympics Track

More information

Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: Reviewed: Next Review:

Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: Reviewed: Next Review: MEDICAL DIRECTIVE Title: Fecal Occult Blood Test Number: TCFHT-MD01 Activation Date: 01-01-2014 Reviewed: 01-01-2015 Next Review: 01-01-2016 Sponsoring/Contact Person(s) (name, position, contact particulars):

More information

Preventive Health Coverage

Preventive Health Coverage Birth to 2 Years Page 1 of 2 Wellness exams and immunizations Well-baby/well-child/well-person exams... Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months Additional visit at 3-5 days after birth and within

More information

MEDICAL & RX BENEFIT MATRIX. American Environmental Group/HSA Plan EFFECTIVE DATE: MEDICAL & RX BENEFITS

MEDICAL & RX BENEFIT MATRIX. American Environmental Group/HSA Plan EFFECTIVE DATE: MEDICAL & RX BENEFITS MEDICAL & RX BENEFIT MATRIX American Environmental Group/HSA Plan EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK OUT-OF-NETWORK CATEGORY

More information

MPH Quiz. 1. How many primaries are present based on this pathology report? 2. What rule is this based on?

MPH Quiz. 1. How many primaries are present based on this pathology report? 2. What rule is this based on? MPH Quiz Case 1 Surgical Pathology from hysterectomy performed July 11, 2007 Final Diagnosis: Uterus, resection: Endometrioid adenocarcinoma, Grade 1 involving most of endometrium, myometrial invasion

More information

CHAPTER 1 SECTION 10.1 TRICARE STANDARD - CLINICAL PREVENTIVE SERVICES TRICARE POLICY MANUAL M, MARCH 15, 2002 MEDICAL SERVICES

CHAPTER 1 SECTION 10.1 TRICARE STANDARD - CLINICAL PREVENTIVE SERVICES TRICARE POLICY MANUAL M, MARCH 15, 2002 MEDICAL SERVICES TRICARE POLICY MANUAL 6010.47-M, MARCH 15, 2002 MEDICAL SERVICES CHAPTER 1 SECTION 10.1 ISSUE DATE: April 19, 1983 AUTHORITY: 32 CFR 199.4(e)(3)(ii) and (g)(37) I. CPT 1 PROCEDURE CODES 45300-45321, 45327,

More information

Chapter 16 Worksheet Code It

Chapter 16 Worksheet Code It Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of

More information

An ounce of prevention is better than a pound of care HEALTH CHECK PACKAGES. Benjamin Franklin

An ounce of prevention is better than a pound of care HEALTH CHECK PACKAGES. Benjamin Franklin Complete your health checks in a single visit to the clinic RxDx Teleconsultation Consult your doctor with the final reports from the comfort of your home Say goodbye to traffic HEALTH CHECK PACKAGES RxDx

More information

2017 NBCCEDP Allowable Procedures and Relevant CPT Codes

2017 NBCCEDP Allowable Procedures and Relevant CPT Codes 2017 NBCCEDP Allowable Procedures and Relevant CPT Codes Listed below are allowable procedures and the corresponding suggested Current Procedural Terminology (CPT) codes for use in the National Breast

More information

2018 Preventive Schedule

2018 Preventive Schedule 2018 Preventive Schedule Effective 1/1/2018 PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT Preventive or routine care helps us stay well or finds problems early, when they are easier to treat. The

More information