How to Get Help Paying for Your Care

As a public safety net system, we provide care regardless of your ability to pay or your immigration status.

That means no one will be denied access to our services, however, our clinics welcome most health insurances, private pay, Medi-Cal, and Medicare.

ENROLL IN INSURANCE

For more information on getting insurance coverage click here.

PAYMENT ASSISTANCE PROGRAMS

We also offer Self-Pay Discount Programs, Charity Care, and Sliding Fee Discount Payment Program (for our Federally Qualified Health Centers).

Self-Pay Discount Program

Regardless of income, or if you have significant medical expenses, you may qualify for our Discount Payment Program. There are 6 levels of the discount program. Self-pay discount program applies to all Ventura County Health Care Agency Clinics (except those that are Federally Qualified Health Centers), Ventura County Medical Center and Santa Paula Hospital.

For more information on our Self-Pay Discount Program, contact the Ventura County Health Care Agency at 805-648-9553 or email VCHCA.PatientAssistance@ventura.org.

To apply (applications are available in English and Spanish) click English or Spanish

  • Discount Payment Policy (English)
  • Rates under the Discounted Payment Program (English)

If your income is below 400% of Federal Poverty income Guidelines, you may qualify for our Charity Care Program.

To apply (applications are available in English and Spanish) click for English or Spanish.

Charity Care Program Policy (English)

Ambulatory Care provides a Sliding Fee Discount Payment Program (SFDP) for qualified patients and members of their family based on family size and income as required by the Health Resources and Services Administration (HRSA) Health Center Program Compliance Manual.

To apply (applications are available in English and Spanish) click for English or Spanish.

Sliding Fee Discount Payment Program Policy (English)

PRICE TRANSPARENCY

Ventura County Medical Center is dedicated to making our pricing available so that you can make more informed decisions about your healthcare costs.

The PARA Price Transparency Tool can help you better understand the costs of your medical care and assist you in planning ahead for medical expenses.

NO SURPRISES ACT

The No Surprises Act protects consumers who get coverage through their employer (including a federal, state, or local government), through the Health Insurance Marketplace® or directly through an individual health plan, beginning January 2022. These rules:

  • Ban surprise billing for emergency services. Emergency services, even if they’re provided out-of-network, must be covered at an in-network rate without requiring prior authorization.
  • Ban balance billing and out-of-network cost-sharing (like out-of-network co-insurance or copayments) for emergency and certain non-emergency services. In these situations, the consumer’s cost for the service cannot be higher than if these services were provided by an in-network provider, and any coinsurance or deductible must be based on in-network provider rates.
  • Ban out-of-network charges and balance billing for ancillary care (like an anesthesiologist or assistant surgeon) by out-of-network providers at an in-network facility.
  • Ban certain other out-of-network charges and balance billing without advance notice. Health care providers and facilities must provide consumers with a plain-language consumer notice explaining that patient consent is required to get care on an out-of-network basis before that provider can bill the consumer.

For consumers who don’t have insurance, these rules make sure they’ll know how much their health care will cost before they get it, and might help them if they get a bill that’s larger than expected.

The rules don’t apply to people with coverage through programs like Medicare, Medi-Cal, Indian Health Services, Veterans Affairs Health Care, or TRICARE because these programs have other protections against high medical bills.