My 1st time was 2 weeks ago in, they will have your blood test, and have 2 presentations, 1st one is showing make sure u don't have Aids, 2nd is about Oscar, if you are over 35 years old then you will have free Oscar, otherwise they have 3 choices, 1. $450 (test 1 time) 2. $850 test 2 times 3. forgot (but is $450- special condition), then they will made another appointment for you for your next check up with the doctor. They also provide you some booklets to read... hope it helps