Frequently Asked Questions
Do you take insurance?
No, but we encourage you to have health insurance to help cover costs of labs, imaging, specialists visits, ER visits, and hospitalizations. If you are generally healthy, we recommend a high-deductible PPO plan. This allows us to refer you to specialists if needed. We cannot refer you if you have an HMO plan.
Can I still be a member if I have an HMO plan?
Yes, however, we may not be able to refer you to specialists because HMO plans require a primary care doctor in the HMO network to refer you to a specialist within that network. We can, however, write a letter to your PCP in your HMO network explaining the need for a specific referral.
How do you determine who gets a free membership?
In order to obtain a free membership, individuals must:
Provide evidence that they are uninsured (emergency Medi-Cal does not count as insurance since its scope of coverage is very limited)
Provide documentation that they qualify as Very or Extremely Low Income by based on the income limits published by the Department of Housing and Urban Development (https://www.huduser.gov/portal/datasets/il/il2023/select_Geography.odn)
Is there a registration fee?
No, there is no registration fee.
What ages do you see?
We see all ages of our patients, from newborn babies to our patients celebrating their 100th birthday.
Do you have a wait time?
No. Our patients are seen on time in our clinic. We have will have same or next day appointments available. If you need urgent care, you have the direct number to your doctor. At East Bay Heath, when you are a member, you will have peace of mind.
What if I need to see a specialist?
We are Family Medicine physicians, which means we have extensive training in diagnosis a wide range of diagnosis. We will have time to form a good differential diagnosis and the tools to order appropriate labs and tests. If you need a referral to specialist and you have a PPO or Medicare, we can refer you to a physician in your network. We have a list of preferred physicians that we have worked with over the years. If you have an HMO, we can write a letter for your PCP at your HMP explaining the need for a specific referral, or we can attempt to refer ourselves. If you do not have insurance, we have a network of specialists that offer discounted cash services, as well as free services for emergent conditions.
What is I have to go to the Emergency Room or the hospital? What role does East Bay Health play in this?
If you are having an emergency, we can call the ER and sign out your case to the emergency doctor. We can help to coordinate care. If you are hospitalized, we can speak with your admitting doctor and discuss your treatment plan and discharge plan. We would help to make a smooth transition from hospital to home.
Do you provide OB care?
No, but we have worked with many obstetricians in the community and can certainly make recommendations.
Can you be my doctor for Workman’s Compensation?
No. Workman’s Compensation insurance is contracted with specific doctors. We can help with health problems or injuries you may have regardless of where it occurred, but if you require treatment by a specialist, we would need to transfer your care to a doctor well-versed in navigating the complex Workman’s Compensation system.
Can you do my DMV physical?
No. You must see a provider on the National Registry of Certified Medical Examiners. (https://nationalregistry.fmcsa.dot.gov/home)
Can you do my FAA physical?
No. You must see a provider certified as an Aviation Medical Examiner by the Federal Aviation Administration (https://designee.faa.gov/#/designeeLocator)