Patient Information
Eligibility
ROADS Community Clinics accepts all patients regardless of their insurance or financial status. ROADS accepts and offers enrollment assistance for the following forms of insurance:
- Medi-Cal
- Medi-Care
- Medi-Medi
- Child Health & Disability Prevention (CHDP)
- Family PACT
ROADS also offers a sliding fee scale to all eligible uninsured or under-insured patients based on annual household income. The income guidelines and acceptable verification for the sliding fee are listed below.
Medi-Cal Eligibility
ROADS has certified enrollment counselors available to assist uninsured patients. These counselors have been trained to help you understand the insurance plans, what they cover, and whether you qualify for them. They will also help you fill out the paperwork to enroll in a plan. We make every attempt to help patients find coverage.
Please bring with you the following items to speed up the processing of your paperwork
- California ID or Consulate ID
- Residency card (if applicable)
- Social Security Card
- Birth Certificate
- 2 current pay check stubs (if paid in cash, please bring a letter written by your employer as certification of employment)
- Automobile registration (if applying for Medi-Cal)
- Proof of address (utility bill: gas, water, or light bill )
Download Patient Forms
- After Hours Procedure (English | Spanish)
- Agreement of Financial Responsibility (English | Spanish)
- California Advance Health Care Directive (English | Spanish)
- Consent for Treatment and to Disclose Records (English | Spanish)
- HIPAA Roads Foundation (Your Rights) (English | Spanish)
- Informed Consent to Photograph (English | Spanish)
- Patient Bill of Rights and Responsibilities (English | Spanish)
- ROADS Patient Registration (English | Spanish)
