Insurance and Payment Information

At St. John’s, anyone is eligible to receive services, no matter their ability to pay. We accept Medi-Cal, Medicare and many other insurance plans. We have benefits counselors at all of our health centers to help patients determine their eligibility for insurance programs. For uninsured patients we offer services on a sliding scale cash basis.

Insurance Information

St. John’s is continuing our efforts to offer no-cost COVID testing to our patients and community.  If you would like to get tested, please call 323-541-1411 to make an appointment. Please bring your insurance card to your appointment.

Due to the Emergency COVID-19 pandemic declared under section 319 of the Public Health Service Act (42 U.S.C. 247d.) St. John’s has extended access for COVID-19 diagnostic test described in section 6001(a)(1) of the FFCRA. To administer, COVID- screening & diagnostic testing for anyone with out-of-network plans.
Our Cash Price to the out-of-network plans for Diagnostic Screening &Testing For COVID-19 is $200.

We accept most major health plans, including Medi-Cal and Medicare.

Are you already covered? Below is a list of managed care health plans that we accept.

Aetna Commercial

Anthem Blue Cross

  • Anthem Blue Cross Covered CA (HMO)

  • Anthem Blue Cross Commercial

  • Anthem Blue Cross POS

  • Anthem Blue Cross Medi-Cal

  • Anthem Blue Cross Medicare Advantage

Blue Shield

  • Blue Shield Commercial

  • Blue Shield POS

Blue Shield of California Promise Health Plan

  • Blue Shield Promise Advantage

  • Blue Shield Promise Total Duals

  • Blue Shield Promise Medi-Cal

  • Blue Shield Promise Cal MediConnect Plan

Brand New Day

  • Brand New Day Medicare Advantage/DSNP

SCAN

  • SCAN Medicare Advantage/DSNP

Cigna

  • Cigna Commercial

  • Cigna POS

Health Net

  • Health Net Covered CA (HMO/FFS)

  • Health Net Commercial

  • Health Net POS

  • Health Net Medi-Cal

  • Health Net Cal MediConnect

  • Health Net Medicare Advantage

LA Care

  • LA Care Covered CA (HMO)

  • LA Care Medi-Cal

  • LA Care Cal MediConnect

Molina Healthcare

  • Molina Medi-Cal

  • Molina Medicare Advantage

  • Molina Cal MediConnect

  • Molina Covered CA (HMO)

United Healthcare

  • United Commercial

  • United Medicare Advantage

Sliding Fee Scale

The Sliding Fee Discount Schedule provides discounts to eligible patients based on their family size and income. The Sliding Fee Discount Schedule is used to calculate the basic discount and is updated each year using the federal poverty guidelines. Once approved, the discount will be honored for twelve months, after which time the patient must reapply. This program applies to all patients who qualify.

No patient will be discriminated against based on any illegal grounds such as gender, age, skin color, race, ethnicity, national origin, religion, disability or sexual preference.

  • 0 – 100% FPL:
    No charge to Patient

  • 101% – 150% FPL:
    Medical: $35/office visit including physicals
    Dental: $40/office visit
    Behavioral Health: $10/ individual office visit $2/group visit

  • 151% – 175% FPL:
    Medical: $45/office visit including physicals
    Dental: $50/office visit
    Behavioral Health: $15/individual office visit and $4/group visit

  • 176%– 200% FPL:
    Medical: $70/office visit including physicals
    Dental: $55/office visit
    Behavioral Health: $20/individual office visit and $6/group visit

  • Greater than 201% FPL:
    Patient pays 100% of standard fee

You will not be denied service for inability to pay.

Pharmacy Medications

Pharmacy Medication only includes formulary available for a 90-Day supply maximum   *Fee charged in addition to 340b cost

  • Sliding Scale A: $10 Plus 340B Cost

  • Sliding Scale B: $15 Plus 340B Cost

  • Sliding Scale C: $20 Plus 340B Cost

  • Sliding Scale D: $25 Plus 340B Cost

  • Sliding Scale E: $30 Plus 340B Cost)

Programa de Escala de Descuentos

El Programa de Escala de Descuentos ofrece descuentos a los pacientes elegibles segun su tamaño de familia y los ingresos. El Programa de Escala se utilize para calcular el descuento basico y se actualiza cada año con las guias Federales del Nivel de Pobreza (NDP). Una vez aprobado, el descuento sera honorado durante doce meses, despues de lo cual el paciente debe volver a aplicar. Este programa se aplica a todos los pacientes sin seguro medico que califican. Ningun paciente sera discriminado por motivo ilegales como sexo, edad, color de piel, raza, etnia, origen nacional, religion, decapacidad o orientacion sexual.

  • 0 – 100% NDP:
    No cobro al Paciente

  • 101% – 150% NDP:
    Medico: $35 visita de oficina incluyendo examen fisico
    Dental: $40 para primera visita
    Salud Mental: $10 para primera visita y $2/ cada visita a grupo

  • 151% – 175% NDP:
    Medico: $45 visita de oficina incluyendo examen fisico
    Dental: $50 visita de oficina
    Salud Mental: $15 visita individual y $4 cada visita a grupo

  • 176% – 200% NDP:
    Medico: $70 visita de oficina incluyendo examen fisico
    Dental: $55 visita de oficina
    Salud Mental: $20 visita individual y / $6 cada visita a grupo

  • 01% y Mayor NDP:
    Paciente paga 100%

No se le niega el servicio por no poder pagar.

Medicamentos de Farmacia

Los medicamentos de farmacia solo incluyen un formulario disponible para un suministro máximo de 90 días.  * Se cobra una tarifa además del costo 340b

  • Escala variable A: $10 más el costo 340B

  • Escala variable B: $15 más el costo 340B

  • Escala variable C: $20 más el costo 340B

  • Escala variable D: $25 más el costo 340B

  • Escala variable E: $30 más el costo 340B)