What Is Included in the Exam Fee?

The immigration medical exam fee typically includes:

• The civil surgeon's professional fee for the examination
• TB skin test (TST) placement and reading
• Blood draw and laboratory processing for syphilis and gonorrhea testing
• Review of vaccination records
• Completion of Form I-693

Additional Costs for Senior Applicants

Senior applicants (65+) may incur additional costs for:

• Pneumococcal vaccines (PCV15/PCV20 and PPSV23) — required for applicants 65+
• Any other vaccines not previously received
• IGRA blood test (if used instead of TST) — additional laboratory fee
• Titer testing (if used to verify immunity) — additional laboratory fee
• Chest X-ray (if TB test is positive) — additional radiology fee

How to Reduce Costs

Senior applicants can reduce exam costs by:

• Bringing complete vaccination records — documented vaccines do not need to be repeated
• Checking whether pneumococcal vaccines are covered by Medicare or Medicaid — if you are enrolled in Medicare, pneumococcal vaccines may be covered at no cost
• Asking about titer testing for MMR, varicella, hepatitis A, and hepatitis B — a positive titer avoids the cost of re-vaccination

Medicare and Vaccine Coverage

If your senior parent is enrolled in Medicare, many vaccines are covered at no cost under Medicare Part B or Part D. Vaccines covered by Medicare include influenza, pneumococcal, hepatitis B, and COVID-19 vaccines.

If the civil surgeon participates in Medicare, the vaccines may be billed directly to Medicare. Ask the civil surgeon's office about Medicare billing before your appointment.

Transparent Pricing at ImmigrationMedicalExams.com

At ImmigrationMedicalExams.com, we believe in transparent, upfront pricing with no hidden fees. Visit our Pricing page or call 714-760-4538 to get a complete fee estimate for your senior parent's immigration medical exam. We will explain exactly what is included and what additional costs may apply based on your parent's vaccination history.