Frequently Asked Questions

Appointments

If you have Medi-Cal or an HMO plan you must be assigned to our clinic in order to be seen by Dr. James Delgadillo and Dr. Peter Din.

 

To get assigned:

 

1) Call your insurance provider. The number is located on the back of your insurance card.

 

2) Tell them you would like to be assigned to Dr. Peter Din or Dr. James Delgadillo and use the corresponding NPI number below.

 

3) They will ask you for his NPI Number and our site code. Please provide the following:

 

Dr. Din NPI: 1902331028
Site code: L9B056

 

Dr. Delgadillo NPI: 1982099263

Site code: L9B056

 

4) Ask when the Primary Care Provider (PCP) assignment will be active. You will not be able to see our providers until it is active.

 

5) Ask for a reference number for the call. This number is for your records. If there are any issues with the activation you can call back with this reference number for proof of your call.

 

6) Once you are assigned, please call our office to make an appt (916) 431-7384.

If you have any questions or concerns please give us a call and we will be happy to help in any way we can. We look forward to supporting your health needs!

Have your insurance ID information ready and give us a call to get scheduled!

You can reschedule or cancel your appointment via your My Health Online portal or you can give us a call at (916) 431- 7384.

As a friendly reminder, we always send a text message prior to your appointment.

 

We understand there are situations out of your control which is why we allow a 15 minute grace period. If you are later than 15 minutes to your scheduled appointment we will gladly reschedule your visit for a different time.

Medicare Visits

The Medicare Annual Wellness Exam is a yearly preventive healthcare visit covered by Medicare for beneficiaries. During this exam, your healthcare provider will review your medical history, assess your current health status, and discuss a personalized plan to maintain or improve your well-being. This visit focuses on preventive care, screenings, vaccinations, and detection of any potential health issues early on. It’s an excellent opportunity to work with your healthcare team to optimize your health and ensure you’re receiving the appropriate care and screenings tailored to your individual needs. Medicare beneficiaries should take advantage of this free annual checkup to stay on top of their health and well-being.

 

When you come in for this visit please bring:

 

– All of your medications in their original bottles along with any over the counter medications and supplements you are taking.

– Your medicare insurance card and other medical insurance cards.

– Photo ID

– Documents outlining end of life care wishes. (Advanced Directives)

– Power of attorney documents.

 

If you have access to my health online please fill out the health questionnaire before your visit.


Otherwise you can print this and fill it out and bring it with you.

 

Medicare AWV Questionnaire – English

 

Medicare AWV Questionnaire – Spanish

 

Medication Refills

The fastest and easiest way to ensure you can refill your medication is to call your pharmacy. The pharmacy will connect with us to refill your medication. Please note- we do not prescribe or refill controlled substance medications (Opiates, Benzodiazepines).

Referrals

If your doctor refers you to a specialist it, typically takes 10-14 days for us to receive approval from your insurance for the referral.

We check the status of our referrals daily and when they are approved we will send you a text message with all the information you need to see your specialist!

We always send a text message or will call you with critical information regarding your referral. If you don’t hear back from us it is likely your referral is still in process with your insurance. Always feel free to send us a message via your My Health Online Portal and we will give you an update!

As soon as a referral is approved, we fax the referral to the specialist office. Specialist offices receive many referrals each day and it may take them some time to process all of the referrals they have received. If the specialist says they do not have your referral, please wait at least 24 hours and call them again. If they still do not have the referral, please ask for their fax number. Then, call our office and provide us with the fax number. We will confirm that have the correct fax number and re-fax the referral. 

We will always make our best efforts to accommodate your request, however, it is your insurance group that makes the ultimate decision. If your insurance is not accepted by your requested doctor/facility, they will either change your referral or deny the referral. We will work with you to find a referring doctor that is approved by your insurance.

Ask the specialist, if they have contacted your primary care office (Capitol Family Medical) to let us know this information. Ask the specialist to call or fax us this information so that we can better coordinate your care and submit a new referral. P: 916 431-3784 F:916-244-9653.

Call Sutter Specialty network directly to ask about the status of your referral. P: 888-834-1788

No prior authorization is required for X-rays. You can call the imaging centers listed below to schedule an appointment at your earliest convenience.

 

For ultrasounds, CT scans, or MRI’s, prior authorization is likely needed from your insurance company. We will submit the authorization and send you a message when it is approved. Once you have received a message about the approval please call the appropriate imaging center to schedule an appointment to get the imaging done.

 

For patients with Medi-Cal, you may go to Diagnostic Radiological Imaging (DRI) Center located in Sacramento or Elk Grove.

 

DRI-Sacramento
79 Scripps Dr. Ste. 100
Sacramento, CA
Phone: 916-921-1300

 

DRI – Elk Grove
7911 Laguna Blvd.
Elk Grove, CA 95758
Phone: 916-585-8990

 

For patients with a PPO or Sutter Independent Physicians (SIP):
Sutter Imaging Centers
P: (916) 453-9999 to schedule an appointment or to get more information about a Sutter Imaging Center closest to you.

It takes 2-4 days for the radiologist to process and put together a report. The results are sent to our office for the doctor to review. You will discuss the results at your follow up appointment. If you do not have a follow up, you may call to set up a follow up appointment to discuss the results of the images. If appropriate we may even be able to schedule a telemedicine appointment to review the results without you having to come into the clinic.

For most patients, we work with Quest Diagnostics Lab services. Please go to www.questdiagnostics.com to find a location closest to you, and to schedule an appointment to have bloodwork and/or urine tests collected.

 

For patients with Sutter insurance (Sutter Independent Physicians SIP), you will need to use Sutter Labs – https://www.sutterhealth.org/find-location/city/sacramento/labs 

Call 988 Suicide & Crisis Lifeline 24 hours per day / 7 days per week to speak confidentially with a suicide / mental health specialist. For emergencies call 911.

 

You do not need a referral to see a Mental Health Specialist. On your health insurance website, you may search for contracted therapists. You may also call your Health Insurance directly. Lastly, you may call any therapist that you have located in your area and ask if they accept your health insurance. Below we have provided additional Mental Health Resources:


Local Sacramento Mental Health Resources:

ADVANCED PSYCHIATRY ASSOCIATES
LOCATION: 510 Plaza Drive, Suite 170, Folsom, CA 95630
PHONE: (916) 351-9400
SERVICES: Psychiatry and Individual Therapy
WEBSITE: https://advancedpsychiatryassociates.com/
POPULATION: Adults and Children age 14yrs & older.

FAIR OAKS PSYCHIATRY ASSOCIATES
LOCATION: 2951 Fulton Avenue, Sacramento, CA 95821
PHONE: (916) 486-7555
SERVICES: Psychiatry and Individual Therapy

SACRAMENTO COUNTY MENTAL HEALTH RESOURCES:
Here you can find information about the various programs and resources available in Sacramento County to support your mental well-being. You’ll also find contact information to easily get in touch with the right people who can help you on your mental health journey. https://dhs.saccounty.gov/BHS/Pages/Mental-Health-Services.aspx

Insurance + Billing

If you have a co-pay, we will accept your copay before your appointment. Usually the co-pay amount is listed on your insurance card. If your co-pay amount is not listed, reach out to your insurance. All plans are different and it is important that you are familiar with the benefits of your plan. 

Review the back of the statement. It will clarify the date of service and the purpose of the bill. Depending on your plan, you may owe a copay or you are required to contribute toward your deductible. If you have questions about your insurance plan, reach out to your insurance provider. All insurance plans are different and it is important that you are familiar with the benefits of your plan. 

You can send a check or fill out the credit card information on the statement and send it back to our office. You may also call our office and pay your bill over the phone, using your credit card.