599 Bellevue Ave.
Santa Rosa, CA - 95407
T (707) 583-8777
This is a sliding scale approved program
Confidential (Teen Only) Family Planning Services:
Birth control counseling and methods
Emergency contraception
Pregnancy tests
STD testing and treatment
HIV testing
Family planning counseling
Confidential Teen Mental Health Services
General Health Services:
Treatment for illness and injury
Immunizations
Physicals and sports physicals
Mental health counseling
Optometry and dental service referrals
Payments:
Most teens are eligible for coverage for reproductive health services through the Family PACT program. All other services are provided on a sliding scale.
Santa Rosa Community Health - Elsie Allen Campus operates under a sliding fee scale payment model. What this means to you is that Santa Rosa Community Health - Elsie Allen Campus provides their services even to patients who cannot afford care (such as low-income or who people who need to self-pay). Patients will pay according to their income. Be prepared to provide information on your household income.
| Federal Poverty Guideline | At or Below 100% | 101% – 125% | 126% – 150% | 151% – 200% | Above 200% |
|---|---|---|---|---|---|
| Family Size | Nominal Fee ($10) | Level 1 Charge $20 | Level 2 Charge $30 | Level 3 Charge $40 | No Discount |
| 1 | $0 - $15,060 | $15,061 - $22,590 | $22,591 - $27,861 | $27,862 - $30,120 | $30,121+ |
| 2 | $0 - $25,550 | $25,551 - $30,660 | $30,661 - $37,814 | $37,815 - $40,880 | $40,881+ |
| 3 | $0 - $25,820 | $25,821 - $32,275 | $32,276 - $38,730 | $38,731 - $51,640 | $51,641+ |
| 4 | $0 - $31,200 | $31,201 - $39,000 | $39,001 - $46,800 | $46,801- $62,400 | $62,0401+ |
| 5 | $0 - $36,580 | $36,581 - $45,725 | $45,726 - $54,870 | $54,871 - $73,160 | $73,161+ |
| 6 | $0 - $41,960 | $41,961 - $52,450 | $52,451 - $62,940 | $62,941 - $83,920 | $83,921+ |
| 7 | $0 - $47,340 | $47,341 - $59,175 | $59,176 - $71,010 | $71,011 - $94,680 | $94,681+ |
| 8 | $0 - $52,720 | $52,721 - $65,900 | $65,901 - $79,080 | $79,081 - $105,440 | $105,441+ |
Obamacare purchased from the Health Care Marketplaces covers Mental Health Care and Substance Use Disorder Treatment. Under the Health Care Law there are 10 categories of benefits. Mental Health Care and Substance Abuse Treatment are two of the 10.
If you have Affordable Care Act Coverage you will have mental health care coverage.
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