Seguro y Cobertura

¡Estamos aceptando nuevos clientes!

Todos los servicios se brindan independientemente del seguro o la capacidad de pago. **Nadie será enviado a colección por no pagar una factura**

Sin seguro

Lyon-Martin will never turn any client away for lack of ability to pay. We do not send anyone to collections for not paying a bill. Clients without insurance will be asked to apply for our sliding scale, which allows for lower-income clients to be billed at small flat rate fee based on income. If you do not have any income documentation, you can self-attest to your income.

We can enroll clients who are uninsured into coverage programs such as Healthy San Francisco, Family Planning Access Care and Treatment (FPACT) and/or Every Woman Counts (EWC) to help pay for the cost of services at our clinic and for some referrals for specialty care. 

Medicare y Medi-Cal

Estamos en red con:

  • Medicare
  • Medicare/Medi-Cal
  • Medi-Cal (tarifa por servicio, Medi-Cal regular o “directo”)
  • Planes de atención administrada de Medi-Cal:
    • San Francisco Health Plan Medi-Cal
    • Anthem Blue Cross Medi-Cal
    • Health Plan of San Mateo Medi-Cal

We also accept, but are out-of-network with, any additional out of county Medi-Cal plans such as

  • Health Plan of San Joaquin Medi-Cal
  • Partnership Health Plan Medi-Cal
  • Alameda Alliance Medi-Cal
  • Contra Costa Health Plan Medi-Cal
  • California Health & Wellness Medi-Cal
  • Molina Healthcare Medi-Cal
  • Inland Empire Medi-Cal
  • LA Care Medi-Cal

y más; sin embargo, las referencias a especialistas pueden ser un poco más difíciles de navegar con planes fuera del condado ya que técnicamente estamos fuera de la red. Si puede obtener la aprobación del seguro para acudir a nosotros, u obtener el "estado de miembro especial", podemos hacer referencias más fácilmente.

Commercial PPO, EPO, & HMO Plans

Estamos en red con:

  • Blue Shield of California PPO, EPO, HMO
  • Anthem Blue Cross of California PPO, EPO, HMO

We accept, but are out-of-network with other private, commercial PPO plans such as

  • United PPO
  • Aetna PPO
  • Health Net PPO

This means your insurance would pay us at the out-of-network rate rather than the in-network rate. Any deductible or co-pay you are unable to pay for services received at our clinic can be paid at a sliding scale rate if you are eligible based on income. Again, we never turn anyone away for lack of funds and will never send anyone to collections for not paying a bill for our services.

We are not in-network with any additional private, commercial EPO or HMO plans than those listed above; however you can still obtain care with us at the out-of-network rate. Any deductible or co-pay you are unable to pay for services received at our clinic can be paid at a sliding scale rate if you are eligible based on income. Again, we never turn anyone away for lack of funds and will never send anyone to collections for not paying a bill for our services.

Sin embargo, es importante tener en cuenta que obtener atención de una clínica fuera de la red como la nuestra con un plan EPO o HMO hace más difícil, sin no imposible, que lo remitamos a especialistas que su seguro cubrirá y, a veces, para que le recetemos medicamentos que su seguro cubrirá. Muchos de los planes de EPO y HMO solo aceptan referencias o recetas de clínicas de atención primaria dentro de su red, como Kaiser. Consulte primero con su compañía de seguros para ver si nuestras referencias y recetas estarían cubiertas.