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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. 
 

None

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.

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

VIEW SLIDING SCALE

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

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.

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CalOptima: COVID-19 Vaccine Member Health Reward

CalOptima members ages 12+ are eligible to receive a $25 gift card for each of the two COVID-19 vaccine doses or one for the single dose. Members must be eligible on the date of service. Members in long-term care, PACE or enrolled in Kaiser are not eligible. No form is required and cards will be sent once CalOptima confirms through the California Immunization registry.

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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

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