Billing & Insurance | UCSF Health

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class="component-content"> </div> </div> </div> <div class="hero-badge-hero"> </div> <h1 class="hero-title display1"> Billing and Insurance </h1> </div> </div> </div><div class="component clinic-ctas no-links container"> <div class="component-content"> </div> </div><div class="component share-print-email container clinic-share"> <div class="component-content"> <div class="share-component"> <a aria-label="Print Page" href="#" rel="nofollow" class="icon-ui-print" title="Print"></a> <a aria-label="Share Page" data-email-body="Thought you might want to see this:" class="icon-ui-share" data-email-body="Thought you might want to see this:" data-email-subject="Take a look at this link from UCSF"></a> </div> <div class="clearfix"></div> </div> </div><div class="component article-intro column-layout col-2-66-33 container"> <div class="component-content col-2-80-20"> <div class="article-content left-col"> <div class="font-larger article-text rich-text"> <h2>Health Insurance</h2> <p>If you have <a href="/billing-and-insurance/health-insurance">health insurance</a>, our billing office will bill your insurance carrier first. If your insurance plan doesn't cover a service or procedure or doesn't cover the entire cost, you'll be responsible for fees that are not covered.</p> <p>If you have insurance coverage and want to update your insurance information for billing, please call Patient Financial Services immediately. Most insurance companies have timely filing requirements.</p> </div> </div> <div class="article-info right-col"> </div> </div> </div> <div class="component content container"> <div class="component-content"> <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#b8c8d9ccd1ddd6cc96ded1d6d9d6dbd1d9d4cbddcaced1dbddcbf8cddbcbde96dddccd" data-variantitemid="{4B30D754-D926-48F0-8FA5-8BCF49756D0F}" data-variantfieldname="Email Address"><span class="__cf_email__" data-cfemail="c4b4a5b0ada1aab0eaa2adaaa5aaa7ada5a8b7a1b6b2ada7a1b784b1a7b7a2eaa1a0b1">[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"> <h2> The No Surprises Billing Act: patient rights and protections</h2> <p>As of January 1, 2022, when patients get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, the No Surprises Billing Act protects them against surprise billing or balance billing. Find out more about your rights under this act and <a href="/billing-and-insurance/no-surprises-billing-act">protections against surprise medical bills</a>.</p> <h2>Notice: Open Payments database</h2> <p>The <a rel="noopener noreferrer" href="https://openpaymentsdata.cms.gov/" target="_blank">Open Payments database</a> is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. For informational purposes only, a link to the federal Centers for Medicare & Medicaid Services (CMS) Open Payments website is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth more than 10 dollars ($10) from manufacturers of drugs, medical devices and biologics to physicians and teaching hospitals be made available to the public.</p> <h2>Statements and payments</h2> <p><strong>MyChart paperless statements</strong></p> <p>UCSF and our affiliate practices are now sending paperless statements.</p> <p>If you have a MyChart account, you don't have to do a thing: You're already receiving paperless statements. If you have a MyChart account, and would like to continue receiving a paper statement, <a href="/mychart">log in to MyChart</a> and choose "cancel paperless billing" on the Billing Summary page. Note: Transplant and Reproductive Health guarantors are not eligible for UCSF MyChart and will continue to receive paper statements in the mail.</p> <p> If you don't have a MyChart account, we encourage you to enroll today. To get started, <a href="https://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/signup">request an activation code</a>. If you already have an activation code, you can use it to <a href="https://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/accesscheck.asp">complete your MyChart registration</a>.</p> <p><strong>Understanding your statement</strong></p> <p>Before billing you, UCSF Health will submit a claim to your <a href="/billing-and-insurance/health-insurance">health insurance</a> provider, including Medicare and Medi-Cal if applicable, and any secondary insurance. If you owe a balance that was not covered by your insurance, or if you are a self-pay patient, you will receive a statement by mail.</p> <p>UCSF Health provides patients with a consolidated statement (per guarantor) that includes fees for both hospital and professional services. Hospital services include costs for room and board, ancillary services such as diagnostic tests (for example, X-rays, EKGs and laboratory tests) and medications. Professional services include care from the physicians who treated you during an outpatient visit or hospital stay, as well as physicians who read and interpreted your test results (such as a radiologist).</p> <p>If you have any questions about your statement, please call Patient Financial Services at (866) 433-4035. A sample statement is available <a href="/-/media/project/ucsf/ucsf-health/pdf/monthly_statement.pdf?rev=e2a01da6bb714c2c8aea8d2fc1fc04e8&hash=94E9880E9E6ED1C9BE5DA96FEF7B56F2">here</a> to help you understand your bill.</p> <p><strong>Payment options</strong></p> <p>Payment is due within 30 days of billing. We accept personal checks and major credit cards (Visa, MasterCard, American Express, and Discover).</p> <p>You may use any of these options to pay your balance:</p> <ul> <li>Online: Pay via <a href="/mychart">MyChart</a></li> <li>Mail: Complete and return the payment coupon attached to your statement</li> <li>Phone: Call (866) 433-4035 (automated payment system is available 24/7)</li> </ul> <h2>Types of coverage</h2> <p><strong>Medicare</strong></p> <p>If you're covered by Medicare, we will submit your claims to Medicare on your behalf. After Medicare makes its payment, we'll bill your supplemental or secondary insurance carrier for the balance, as determined by Medicare. If you don't have supplemental or secondary insurance, you will be responsible for the remaining balance. For more information, please refer to the EOMB (Explanation of Medicare Benefits) or the EOB (Explanation of Benefits) from your supplemental or secondary insurance.</p> <p><strong>Medi-Cal</strong></p> <p>Medi-Cal is California's Medicaid program, a medical assistance program for low-income residents funded by the state and federal governments. If you're covered under this program, please provide an eligibility card or other proof of eligibility for your month of service. Medi-Cal eligibility is determined on a month-to-month basis.</p> <p><strong>Self-pay patients</strong></p> <p>If you don't have health insurance or are seeking care that is not covered by your insurance plan, you're considered a self-pay patient. All self-pay patients at UCSF are eligible for a discount. For more information about our discount policy, please call our Financial Counseling office at (415) 353-1966. </p> <p>To request an estimate of the out-of-pocket cost for an upcoming service, call Financial Counseling's Patient Estimate Program at (844) 678-6831. Financial counselors are available to discuss your options and offer guidance in the financial planning of your medical care or services. </p> <h2>What you'll pay</h2> <p><strong>Estimating your out-of-pocket costs</strong></p> <p>At UCSF Health, we're committed to helping patients and their families make informed decisions about every aspect of their care, including out-of-pocket costs. Those costs will be affected by insurance plan coverage, by co-pays and deductibles (if any), and by the wide range of services provided and other variables that affect costs. Use this tool to help calculate out-of-pocket costs for our most common services.</p> <p><a rel="noopener noreferrer" href="https://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates" target="_blank"><button type="button" class="btn btn-primary">Online price estimator</button></a></p> <p><strong>Need assistance?</strong></p> <p>Financial counselors are available to discuss your options and offer guidance in the financial planning of your medical care or services. Contact a Financial Counselor at the Patient Estimate Program at (844) 678-6831 or <a href="/cdn-cgi/l/email-protection#4e3e2f3a272b203a2b3d3a27232f3a2b0e3b2d3d28602b2a3b"><span class="__cf_email__" data-cfemail="ef9f8e9b868a819b8a9c9b86828e9b8aaf9a8c9c89c18a8b9a">[email protected]</span></a>.</p> <p>Elective procedures require a deposit before service, unless the patient is eligible for financial assistance. If you need to make a deposit or arrange a payment before an elective procedure, please call Financial Counseling at (415) 353-1966. To make payment arrangements or apply for financial assistance for an outstanding statement balance, call Patient Financial Services at (866) 433-4035.</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/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/help-paying-your-bill" class="phantom-link" title="Help Paying Your Bill"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/service/hero/help-paying-your-bill-2x.jpg?h=376&w=974&rev=64dcd857fb484ea088a9e83a0db5cd83&hash=2513062AAA044194785FC92100DD2344" alt="" width="2880" height="1112" /> <p class="font-larger"> Help Paying Your Bill </p> <p> Financial assistance is available to eligible patients for emergency and medically necessary care. Read the requirements and find out how to apply. </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#047465706d616a706177706d6965706144716777622a616071"><span class="__cf_email__" data-cfemail="364657425f5358425345425f5b574253764355455018535243">[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">In 1981, UCSF's Gail Martin co-discovered embryonic stem cells in mice and coined the term "embryonic stem cell." Today, our stem cell center is one of the largest in the U.S., and our researchers there are developing new treatment strategies for a broad range of disorders, including heart disease, diabetes, neurological conditions and cancer.</h2><a href="https://stemcell.ucsf.edu/" rel="noopener noreferrer" data-variantitemid="{523D4E22-5538-4AA6-B288-D66A4CA9FECA}" data-variantfieldname="Link" target="_blank">Learn more</a></div> </div> </div> </div> </div> </div> <div class="component footer-content col-xs-12"> <div class="component-content"> <div class="container"><div class="top-row"> <div class="component image file-type-icon-media-link logo"> <div class="component-content"> <img src="/-/media/project/ucsf/ucsf-health/images/logos/logowhite.png?h=26&iar=0&w=141&rev=7a07669440bb454d9c7c3ef29f025f8b&hash=F3B696610C78F98E03B340A55F44AC06" alt="UCSF Health" width="141" height="26" data-variantitemid="{43F4CA98-D35D-4B36-8558-CADA034604A7}" data-variantfieldname="Image" loading="lazy" /> </div> 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