Do I Qualify?

Connecting You to Care

WellSpace Health is committed to serving all patients, regardless of their ability to pay. Although we do accept many healthcare coverage programs, patients who are not covered by insurance will not be turned away.

Many patients are surprised to learn that they are eligible for low-cost or no-cost healthcare programs. The knowledgeable staff from our Enrollment and Eligibility Department is available to help you understand and navigate the enrollment process of these programs, including Medi-Cal, Medicare, 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 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 who meet income qualifications based on the Federal poverty level guidelines. Call to inquire about our new and established patient 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.

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, EHS, Molina, Hill Physicians, California Health and Wellness, Health Net, Nor Cal/Sierra Nevada, Anthem.

Covered California

At this time we do not accept Covered California, but we encourage our self-pay patients to apply.

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