Insurances and Program Eligibility

We accept most major insurances including Medicare (Medicare Advantage fee for service plans also accepted) and Medi-Cal.

Free and low cost programs for the uninsured:

The following programs provide services based on income for uninsured or individuals who are underinsured.

SLIDING SCALE:

Discounted services including medical, dental and mental health.

FAMILY PACT:

Free family planning services for men and women including birth control, annual gynecological exams and pap smears, screening breast exam and mammogram, testing and treatment for sexually transmitted diseases, pregnancy testing and sterilization.

CANCER DETECTION PROGRAM:

Provides free breast and cervical cancer screening for women, including diagnostic follow up.

Child Health and Disability Prevention Program: Free well child exams including immunizations for children up to age 19.

INSURANCE AND PROGRAM APPLICATION ASSISTANCE:

WCHC provides free application assistance for Medi-Cal, Covered California Exchange Plans, and CAL Fresh for our established patients as well as free application assistance for community members for Covered California Open Enrollment.

We accept the following private insurances:

MERITAGE-SJH

  • Aetna
  • Blue Shield
  • Cigna
  • Health Net
  • United Healthcare
  • Western Health Advantage

SUTTER MEDICAL GROUP OF THE REDWOODS

  • Aetna HMO
  • Blue Cross HMO
  • Blue Shield HMO
  • Health Net HMO
  • Secure Horizons
  • Health Net Senior Advantage Plan
  • United Healthcare

SONOMA COUNTY BSC ADMIN

  • Blue Shield HMO

PPO:

  • Aetna
  • Blue Cross of California
  • Blue Shield of California
  • Cigna
  • Health Net
  • PacifiCare
  • UFCW
  • United Healthcare
  • UMR/ Sutter Select

For more information contact your insurance company or our billing department.

Dental Services:

The Russian River and Sebastopol Dental Centers, part of West County Health Centers, offers a comprehensive dental program with services for adults and children. SCHDC accepts Medi-Cal.  In addition, we offer a sliding scale discount program for all uninsured patients and/or for services that are not covered by Medi-Cal . We do not accept any private dental insurance.  

HIV Services:

Available Programs for People Living with HIV/AIDS:

  • AIDS Drug Assistance Program, ADAP, Recertification.
  • Insurance plan through Covered CA, if you are over income for Medi-Cal.
  • COBRA monthly premium payments.
  • Medicare Part D monthly premiums.
  • Medi-Gap monthly premiums.

Additional Programs for HIV Prevention:

  • HIV Pre-Exposure Prophylaxis: PrEP AP

Contact Chris Hightower 707-823-3204 for enrollment in any of these programs.

Behavioral Health Services

We prioritize the following insurances:

  • Medi-Cal or Partnership Health Plan
  • Medicare
  • Tricare
  • Sliding Scale

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