Do I Qualify?
Connecting You to Care
WellSpace Health is committed to serving all patients/clients, regardless of their ability to pay. Although we do accept many healthcare coverage programs, patients/clients who are not covered by insurance will not be turned away.
Many patients/clients are surprised to learn that they are eligible for low-cost or no-cost healthcare programs. The knowledgeable personnel from our Enrollment and Eligibility Department is available to help you understand and navigate the enrollment process of these programs, including Medi-Cal, Medi-Care, Family PACT, and more.
WellSpace Health offers medical care on a sliding scale fee system depending on income if you do not qualify for specific programs, services or insurance.
Get Signed Up
We are here to help. Call (916) 737.5555 to schedule an eligibility or enrollment appointment.
Patients/Clients should bring the following items to their appointment:
- Proof of residency
- Proof of income
- Photo ID
How the Programs Work
Sliding Fee
WellSpace Health provides primary care, dental, and behavioral health sliding-fee services to patients/clients who meet income qualifications based on the Federal poverty level guidelines. Call to inquire about our new and established patient/client rates. Federal Poverty Level percentage categories
Medicare
Medicare is the largest health insurance service in the country. To be eligible you must be a citizen of the United States and meet certain requirements. If you are not a citizen of the United States, you can contact the Social Security Administration office to learn if you would be eligible.
Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered necessary to treat a disease or condition. If you’re in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.
Medi-Cal
Medi-Cal is California’s Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. If you are found eligible, you can get Medi-Cal as long as you continue to meet the eligibility requirements.
Your local county welfare or social services department manages Medi-Cal eligibility determinations.
CHDP (Child Health and Disability Prevention Program)
The CHDP program provides complete health assessments for the early detection and prevention of disease and disabilities for low-income children and youth. A health assessment consists of a health history, physical examination, developmental assessment, nutritional assessment, dental assessment, vision and hearing tests, a tuberculin test, laboratory tests, immunizations, health education/anticipatory guidance, and referral for any needed diagnosis and treatment.
CPSP (Comprehensive Perinatal Services Program)
Presumptive Eligibility (PE) for Pregnant Women is a Medi-Cal program designed to provide immediate, temporary coverage for prenatal care to low-income pregnant women pending a formal Medi-Cal application. Please call CPSP at (916) 550.5424 to schedule your first eligibility appointment.
Family PACT
Family PACT is a program that provides no-cost family planning services to low-income men and women, including teens.
Every Woman Counts (Cancer Detection Program)
Every Woman Counts provides free clinical breast exams, mammograms, pelvic exams, and Pap tests to California’s underserved women.
Managed Care Plans
Managed care plans serve as a health plan providing a wide range of quality health care services to families and individuals who qualify for government-sponsored programs, including Medi-Care, Medi-Cal, Medicaid and the State Children’s Health Insurance Program (SCHIP). We work with the following managed care plans: River City Medical Group, Molina, Golden Shores, Hill Physicians, Imperial Health, California Health and Wellness, Health Net, Nor Cal Physicians Medical Group/Sierra Nevada, Anthem, and Aetna Better Health.
Covered California
At this time we do not accept Covered California, but we encourage our self-pay patients to apply.
Physician Open Payments Notice
The Open Payments database is a federal tool used to search payments by drug and device companies to physicians and teaching hospitals. This database can be found at https://openpaymentsdata.cms.gov.
For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page provided above. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.
Disclaimer: This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. We will expect payment at the time of service.
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