Help Paying Your Bill

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class="article-content left-col"> <div class="font-larger article-text rich-text"> <p>At UCSF Health, we're committed to helping patients who don't have the means to pay for emergency care and other medically necessary health care services.</p> <p>You’ll find details below about our financial assistance programs and how to apply.</p> </div> </div> <div class="article-info right-col"> </div> </div> </div> <div class="component content container"> <div class="component-content"> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text paragraph1 col-xs-12"> <div class="component-content"> <h2>Financial assistance programs </h2> <p>If you have questions about these programs, don't hesitate to call or email us.</p> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component help-cards col-xs-12"> <div class="component-content"> <div><h2 class="heading1 field-title">Contact us</h2></div><div> <div class="component help-cards-entry col-xs-12"> <div class="component-content"> <div class="paragraph1 field-title">Patient Financial Services</div><div class="entry-numbers"><div><p class="entry-number"><span><span class="icon-ui-phone"></span></span><span class="field-label">Toll-free:</span><span class="field-number">(866) 433-4035</span></p><p class="entry-number"><span><span class="icon-ui-phone"></span></span><span class="field-number">(415) 353-3333</span></p><p class="entry-number"><span><span class="icon-ui-print"></span></span><span class="field-number">(415) 353-3914</span></p></div></div><div><span><span class='icon-ui-mail'></span></span><a href="/cdn-cgi/l/email-protection#2151405548444f550f47484f404f4248404d524453574842445261544252470f444554" data-variantitemid="{579AD407-6238-489F-95FF-191A3D02716C}" data-variantfieldname="Email Address"><span class="__cf_email__" data-cfemail="fe8e9f8a979b908ad09897909f909d979f928d9b8c88979d9b8dbe8b9d8d98d09b9a8b">[email protected]</span></a></div><div><span><span class='icon-decorative-hours'></span></span>M-F, 8 a.m. - 4 p.m.</div><div><span></span></div><div><span><span class='icon-ui-location'></span></span><div><p class="field-street-1">505 Parnassus Ave., #0810</p><p><span>San Francisco<span><span>, </span></span></span><span class="field-state">CA</span><span><span> </span></span><span class="field-zip">94143-5631</span></p></div></div> </div> </div> </div> </div> </div> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text paragraph1 col-xs-12"> <div class="component-content"> <p><strong>Financial counseling:</strong> Financial counselors in our Patient Estimate Program are available to discuss your options and offer financial planning guidance for your medical care or services. Call (844) 678-6831 or <a href="/cdn-cgi/l/email-protection#542435203d313a203127203d3935203114213727327a313021"><span class="__cf_email__" data-cfemail="a0d0c1d4c9c5ced4c5d3d4c9cdc1d4c5e0d5c3d3c68ec5c4d5">[email protected]</span></a>.</p> <p><strong>UCSF Health discount policy:</strong> Patients who don't have health insurance – or who need care that's not covered by an insurance plan – are considered self-pay patients and are eligible for a discount at UCSF Health. To find out more about our discount policy, call Patient Financial Services.</p> <p><strong>Facing financial hardship?</strong> We encourage you to apply to Medi-Cal and other government programs that may be able to help. If you don't qualify for those programs, or you have substantial financial liabilities despite having insurance, you may qualify for financial assistance from UCSF Health.</p> <p><strong>Eligibility for financial assistance:</strong> Families with an income at or below 400 percent of federal poverty level (FPL) guidelines are generally eligible for 100 percent assistance from UCSF. Check here for details:</p> <table> <tbody style="width:100%;"> <tr> <td style="text-align:center; background-color: #8a8be2; width:30%;">Family Size</td> <td style="background-color: #8a8be2; width:60%;">100% Financial Assistance (maximum income)</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">1</td> <td style="width:60%;">$60,240</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">2</td> <td style="width:60%;">$81,760</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">3</td> <td style="width:60%;">$103,280</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">4</td> <td style="width:60%;">$124,800</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">5</td> <td style="width:60%;">$146,320</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">6</td> <td style="width:60%;">$167,840</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">7</td> <td style="width:60%;">$189,360</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">8</td> <td style="width:60%;">$210,880</td> <td style="width:10%;"> </td> </tr> <tr> <td style="text-align:center; width:30%;">More than 8</td> <td style="width:60%;">Add $21,520 for each additional person (400% of $5,380)</td> <td style="width:10%;"> </td> </tr> </tbody> </table> <br /> <h2>How to apply</h2> <p>If Patient Financial Services has advised you to apply for financial assistance, please complete an application in <a href="/mychart">UCSF's MyChart</a>.</p> <p>Alternatively, you can download the application below and send it to the address listed there.</p> <p>Note: Your completed application for financial assistance should be submitted after services are provided and is not a substitute for insurance or a guarantee of future services.</p> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component link-list meta-links col-xs-12"> <div class="component-content"> <div> <h2 class="heading1 title-anchor">Application and policy</h2> <p class="font-larger"></p> </div> <ul class="use-download-icon include-title "> <li class="item0 odd first vertical-li-styling-fix"> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-health/pdf/financial_assistance_application.pdf?rev=9dbe3cd60244436eb8840c74f41f4f8c" target=_blank>Financial Assistance Application</a> </p> </li> <li class="item1 even vertical-li-styling-fix"> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-health/pdf/patient-financial-assistance-policy-abbrev.pdf?rev=e75eb0b27bf6405d942fd2cad8ffdd4f" target=>Patient Financial Assistance Policy (abbreviated version)</a> </p> </li> <li class="item2 odd last vertical-li-styling-fix"> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-health/pdf/patient-financial-assistance-policy-full.pdf?rev=36488dd1d3954b80a5d2494989918d13" target=>Patient Financial Assistance Policy (full version)</a> </p> </li> </ul> </div> </div> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text paragraph1 col-xs-12"> <div class="component-content"> <h2> Hospital Bill Complaint Program</h2> <p>The Hospital Bill Complaint Program is a state program, that reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Go to <a rel="noopener noreferrer" href="https://hcai.ca.gov/affordability/hospital-fair-billing-program/" target="_blank">Hospital Fair Billing Program</a> for more information and to file a complaint.</p> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component article-cards cards-component col-xs-12"> <div class="component-content"> <div> <h2 class="heading1 title-anchor"> Recommended Reading </h2> <div class="view-all"> </div> </div> <div class="cards"> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance" class="phantom-link" title="Billing and Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/billing-and-records-2x.jpg?h=376&w=974&rev=69209857c25641ad8d3f511ecd8ff407&hash=51C56BEF50CCA38605B84D95221A12DF" alt="" width="2880" height="1112" /> <p class="font-larger"> Billing and Insurance </p> <p> If you’re a patient at UCSF Health, we will submit a claim to your health insurance. Find out more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance" class="phantom-link" title="Health Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-2x.jpg?h=376&w=974&rev=cfb4a6e5a82f48e1bfc237f767b9cb57&hash=8881631F71D1D0A2C9EE4180D8861C1C" alt="Health-Insurance-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance </p> <p> See a list of insurance plans and programs accepted at UCSF Health and how to determine what kind of access to UCSF care your plan allows. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance-benefits" class="phantom-link" title="Health Insurance Benefits: Private & Public Plans"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-benefits-2x.jpg?h=376&w=974&rev=fec9c338c7e944e585f827d8580717e3&hash=774807D140CBC29946BF211F6A8C52ED" alt="Health-Coverage-Background-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Benefits: Private & Public Plans </p> <p> Find detailed info about private plans, group plans, public health care plans, plans for people with pre-existing conditions, and public health coverage. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance-terms-and-definitions" class="phantom-link" title="Health Insurance Terms & Definitions"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-terms-and-definitions-2x.jpg?h=376&w=974&rev=170ff0c0c3534d919151586fa32aa558&hash=F603B7CB0649F2DACD5E2BD350A6B560" alt="Glossary-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Terms & Definitions </p> <p> See patient-friendly definitions for words that refer to health insurance, from “co-payment” and “deductible” to “HMO,” “high-deductible,” “Medi-Cal” and more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/no-surprises-billing-act" class="phantom-link" title="Patient Protections Against Surprise Medical Bills"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/no-surprises-billing-act-1440x556-2x.jpg?h=376&w=974&rev=606dd95d68964fb8a954e606cabb864d&hash=3B7C6F65EE888F9A7C5D698EA70298ED" alt="" width="2880" height="1112" /> <p class="font-larger"> Patient Protections Against Surprise Medical Bills </p> <p> If you see health care providers outside your plan network, find out how the federal No Surprises Act protects you against balance billing and surprise billing. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> </div> </div> </div> <div class="component twoup-promo col-xs-12"> <div class="component-content"> <div class="component twoup-promo-contact col-xs-12"> <div class="component-content"> <h2 class="heading1 field-headline">Financial Counseling</h2><p class="font-larger field-promo-text"><p>M-F, 9 a.m. - 5 p.m.</p></p><div class="field-phone"><span class='icon-ui-phone'></span> (415) 353-1966</div> </div> </div> <div class="component twoup-promo-contact col-xs-12"> <div class="component-content"> <h2 class="heading1 field-headline">Patient Estimate Program </h2><p class="font-larger field-promo-text"><p><a rel="noopener noreferrer" rel="noopener noreferrer" href="https://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates" target="_blank"><button type="button" class="btn btn-primary">Get a price estimate online</button></a></p></p><div class="field-phone"><span class='icon-ui-phone'></span> Toll-free: (844) 678-6831</div> <div class="field-email"> <span class='icon-ui-mail'></span><a href="/cdn-cgi/l/email-protection#453524312c202b312036312c2824312005302636236b202130"><span class="__cf_email__" data-cfemail="91e1f0e5f8f4ffe5f4e2e5f8fcf0e5f4d1e4f2e2f7bff4f5e4">[email protected]</span></a> </div> </div> </div> </div> </div> </div> </div> </div> </main>   <footer> <div id="footer" class="container"> <div class="component footer-values col-xs-12"> <div class="component-content"> <div> <div class="component ucsf-values col-xs-12"> <div class="component-content"> <div class="container"><div class="title eyebrow field-eyebrow-text">Did you know?</div><h2 class="heading1 field-quote-text">At UCSF Health, we believe a malaria-free world is possible within a generation. 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