Doctor services $5

Preventive care $0

Hospital inpatient services $0

Laboratory tests and X-rays $0

Vision services $5

Dental services $5

Emergency health care $5

Emergency medical transportation $0

Durable medical equipment and medical supplies $0

Mental health services (Inpatient Care) $5

Alcohol and drug abuse services $5

Physical, occupational,
speech therapy Outpatient $5/Inpatient $0