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Insurance, Payment Options & Forms

At PPOSBC, we have many different options when it comes to paying for care. Here, you can find information on types of insurance we accept, payment options, and our sliding scale.

The bottom line: No one will be turned away from receiving care. 

Insurance Information

At PPOSBC, we accept:

  • Family PACT (can be qualified on-site)
  • Medi-Cal
  • Medi-Cal Managed Care (HMO) plans for all family planning services
  • Many private and commercial insurance plans

For help signing up for Medi-Cal or to see if your insurance provider is accepted, call (714) 922-2477.

To make an appointment, call (714) 922-4100.

Remember, ev​en if you don't have insurance, or if your insurance provider isn't accepted, you will not be turned away from receiving family planning care. 
 

Payment Options

Fees are based on a sliding scale and are determined by the patient’s monthly income and number of dependents. This means, you pay what you can afford. View sliding scale.

We accept cash, all major credit cards, and in-state personal checks.
 

Service Price Estimate

For patients without insurance or not using insurance, a “Good Faith Estimate” will be provided to clearly explain how much the service will cost before you get care. No one will be turned away from care if they are unable to pay. Learn more.

Medical Forms

Family PACT
This program helps cover your reproductive care services if you don't have insurance.

Download Family PACT form:
English | Spanish 

Medical Records Release Form
To request your medical records be sent to Planned Parenthood or mailed to you by Planned Parenthood please fill out a HIPAA release form.

Download medical records release form: 
English | Spanish | Vietnamese

CalOptima: COVID-19 Vaccine Member Health Reward

Eligible CalOptima members 5 years of age or older can receive up to two $25 gift cards for a two-dose vaccine or one $25 gift card for a single-dose vaccine. Gift cards will be mailed after CalOptima confirms through the California Immunization Registry that you received your COVID-19 vaccine. No forms required. Members must be eligible on the date of service. Members in long-term care, PACE or enrolled in Kaiser are not eligible. If you received your COVID-19 vaccine, please be patient as there may be delays in confirming your vaccination and mailing your gift card(s) for the COVID-19 Vaccine Member Health Rewards program. If you received a vaccine that requires 2 doses, you may receive your gift card for the 1st and 2nd doses at different times. 

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Need a Ride?

If you have Medi-Cal insurance, you can get free transportation to you Medi-Cal covered appointment. View form for more information.

*Please note that this is being offered by the health plans, so Planned Parenthood is unable to arrange the transportation or answer questions about the service.

VIEW FORM

Open Payments Database Notice

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It 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 is provided here. 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.

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