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Free Services

What Services Are Free of Cost for American Indians through Chapa-De?

From the Patient Newsletter 

Chapa-De Indian Health Auburn Grass Valley | Medical Clinic

Many of you have questions about what services American Indians and Alaskan Natives can receive free of cost through Chapa-De.  Here are some guidelines to help you understand our services.

In general, there are two types of services available: 

  • Direct Care Services
  • Purchased and Referred Care (previously known as Contract Health Services)

Direct Care Services include medical and dental visits, behavioral health counseling, health education, etcetera. Most of these services are available to American Indians with proper proof of Indian heritage at no charge.  There are a few exceptions; all patients must pay for prescription drugs and eyeglasses unless they have insurance covering those items.

Purchased and Referred Care (PRC) covers the cost of qualifying health care services obtained outside of Chapa-De, such as radiology, visits to specialists, dental lab work, and hospital care. To be eligible for PRC, you must meet specific Federal Guidelines:

  • You must provide documentation that you are from an eligible tribe native to California (you may have temporary coverage if you moved to California within the last six months. Ask the PRC Office for details).
  • You must live within the Contract Health Service Delivery Area. Urban counties, such as Sacramento and San Joaquin, are not considered eligible counties.
  • You must follow through with the PRC application process to have an invoice paid or receive reimbursement for a bill you paid directly. This includes using all other health care resources for which you may be eligible, such as Medi-Cal, Medicare, or private insurance.

PRC is not the same as insurance, and there are limitations on what is covered.  For more information about covered services or if you have additional questions about eligibility, call Chapa-De’s PRC office at 530-887-2800, extension 2964.

For more information, call our Auburn location at (530) 887-2800 or our Grass Valley location at (530) 477-8545 or visit us online at




Chapa-De provides medical care, dental care, optometry, behavioral health, pharmacy services and much more.

Serving all American Indian, Low Income and Limited Income Community Members