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Lab Fee Reimbursement Form (PDF)

Volunteer Application for Dentists (PDF)

Lab Fee Reimbursement Information

The Health Trust has a limited fund available to help offset some of the cost of lab fees for Dental Affinity Program patients that reside in the Health Trust’s primary service area. The Health Trust’s primary service area consists of three zip codes: 95076, 95019 and 95004. The communities within this service area include Watsonville, Pajaro, Freedom, and Aromas.

In order to receive reimbursement from the HealthTrust, the patient is responsible for paying at least $50 of the total lab fees. The Health Trust will then pay the remainder up to $500.  If the lab fees exceed $550, it is either the patient’s or the provider’s responsibility to pay the remaining amount. The handling of this outstanding balance should be worked out between the provider and the patient. 

To receive reimbursement from the HealthTrust, volunteers must submit the Lab Fee Reimbursement form along with a copy of the original lab invoice. 

Community Health Trust. — Pajaro Valley
85 Nielson Street, Watsonville, CA 95076 |  831 761-5639

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