Help Paying Your Bill | UCSF Benioff Children's Hospitals

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Read about requirements and how to apply.","image":"https://www.ucsfbenioffchildrens.org/-/media/project/ucsf/ucsf-bch/images/article/hero/financial-assistance-2x.jpg?rev=206e67df7ef84f1a9292732c31fc3c79","url":"https://www.ucsfbenioffchildrens.org/billing-and-insurance/help-paying-your-bill","author":{"@type":"Organization","name":"UCSF Health"},"dateCreated":"2024-05-01T23:03:42+00:00","dateModified":"2024-05-01T23:09:01+00:00","publisher":{"@type":"Organization","name":"UCSF Health","logo":{"@type":"ImageObject","url":"https://www.ucsfbenioffchildrens.org/-/media/project/ucsf/ucsf-health/ezgifcom-gif-maker.png?rev=b49aee14cf934fb086632358c341cf97"}},"articleBody":"At UCSF Benioff Children's Hospitals and clinics, we're committed to helping patients who don't have the means to pay for emergency care and other medically necessary health care services.\nOur children’s hospitals are part of UCSF Health. You’ll find details below about our financial assistance programs and how to apply.","articleSection":"Article"} </script> </head> <body class="default-device bodyclass"> <a href="#content" class="skip-to-content">Skip to Main Content</a> <div id="wrapper">  <header> <div id="header" class="container-fluid"> <div class="component rich-text ie-warning-banner"> <div class="component-content"> <p> Looks like you’re visiting Benioff Children's Hospitals on Internet Explorer. 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href="/refer-a-patient">Refer a Patient</a></li> </ul> <div class="mobile-nav-footer"> </div> </div> </div> </div> </div> </div> </div> </div> </header>   <main> <div id="content" class="container"> <div class="component article-hero basic-hero"> <div class="component-content"> <div class="hero-image"> <img src="/-/media/project/ucsf/ucsf-bch/images/article/hero/financial-assistance-2x.jpg?h=1112&iar=0&w=2880&rev=206e67df7ef84f1a9292732c31fc3c79&hash=778484BBF5129E092B724C60C5D8C1F7" alt="financial-assistance-2x" width="2880" height="1112" /> </div> <div class="hero-content"> <div class="eyebrow hero-breadcrumb"> <div class="component ucsf-breadcrumb"> <div class="component-content"> <div class="eyebrow article-breadcrumb"> <a href="/billing-and-insurance">Billing & Insurance </a> </div> </div> </div> </div> <div class="hero-badge-hero"> </div> <h1 class="hero-title display1"> Help Paying Your Bill </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"> <p>At UCSF Benioff Children's Hospitals and clinics, 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>Our children’s hospitals are part of UCSF Health. 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 col-xs-12"> <div class="component-content"> <h2>Financial assistance programs </h2> <p>If you have questions about these programs, don't hesitate to contact Patient Financial Services.</p> <p>Financial counseling: Counselors are available to discuss options and offer financial planning guidance for your child's medical care or services. Call (844) 678-6831 (San Francisco) or (510) 428-3576 (Oakland).</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">Patient Financial Services</h2></div><div> <div class="component help-cards-entry col-xs-12"> <div class="component-content"> <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#90e0f1e4f9f5fee4bef6f9fef1fef3f9f1fce3f5e2e6f9f3f5e3d0e5f3e3f6bef5f4e5" data-variantitemid="{5F3108FA-F5CD-4C93-9864-C383BF582914}" data-variantfieldname="Email Address"><span class="__cf_email__" data-cfemail="156574617c707b613b737c7b747b767c7479667067637c76706655607666733b707160">[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> <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">Financial counseling and cost estimates</h2></div><div> <div class="component help-cards-entry col-xs-12"> <div class="component-content"> <div class="paragraph1 field-title">San Francisco</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">(844) 678-6831</span></p><p class="entry-number"><span><span class="icon-ui-phone"></span></span><span class="field-number">(415) 353-1966</span></p></div></div><div><span><span class='icon-ui-mail'></span></span><a href="/cdn-cgi/l/email-protection#bdcddcc9d4d8d3c9d8cec9d4d0dcc9d8fdc8decedb93d8d9c8" data-variantitemid="{D5B601E6-C3C0-4A89-93B0-ADE9173BEE02}" data-variantfieldname="Email Address"><span class="__cf_email__" data-cfemail="f68697829f9398829385829f9b978293b683958590d8939283">[email protected]</span></a></div><div><span></span></div><div><span></span></div><div><span></span><div><p><span><span></span></span><span></span></p></div></div> </div> </div> <div class="component help-cards-entry col-xs-12"> <div class="component-content"> <div class="paragraph1 field-title">Oakland</div><div class="entry-numbers"><div><p class="entry-number"><span><span class="icon-ui-phone"></span></span><span class="field-number">(510) 428-3576</span></p></div></div><div><span><span class='icon-ui-mail'></span></span><a href="/cdn-cgi/l/email-protection#2b66526e585f42464a5f4e6b5e48584d054e4f5e" data-variantitemid="{3676D2AD-3566-4218-9582-922BBE33AF2B}" data-variantfieldname="Email Address"><span class="__cf_email__" data-cfemail="9fd2e6daecebf6f2feebfadfeafcecf9b1fafbea">[email protected]</span></a></div><div><span></span></div><div><span></span></div><div><span></span><div><p><span><span></span></span><span></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 col-xs-12"> <div class="component-content"> <p><strong>UCSF Health discount policy:</strong> Children 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 your family doesn'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 rel="noopener noreferrer" href="https://www.ucsfhealth.org/mychart" target="_blank">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 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 "> <li class="item0 odd first "> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-bch/pdf/financial-assistance-application.pdf?rev=3fe8a06eab6e4da889e145923c65544a" target=_blank>Financial Assistance Application</a> </p> </li> <li class="item1 even "> <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 "> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-bch/pdf/patient-financial-assistance-policy-full.pdf?rev=3352f16136234b6e873f8cf9d4a95796" 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 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"> Related articles </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 & Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/billing-and-insurance-2x.jpg?h=376&w=974&rev=4153a9f3091542b9b820256b8b2cfcd4&hash=23709555F4F49B36BEE919C5D955D2F7" alt="" width="2880" height="1112" /> <p class="font-larger"> Billing & Insurance </p> <p> After health insurance processes a claim, you may need to pay a portion out of pocket. Learn about billing, payment options, assistance 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/health-insurance" class="phantom-link" title="Health Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/health-insurance-2x.jpg?h=376&w=974&rev=bda9470c86ab43c49970ce71353fed21&hash=AFFB0DBFCD21811B09D607361021D943" alt="health-insurance-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance </p> <p> We accept numerous health insurance plans at our pediatric hospitals in San Francisco and Oakland. Find out if your plan is one of them. </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/glossary" class="phantom-link" title="Health Insurance Glossary"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/health-insurance-glossary-2x.jpg?h=376&w=974&rev=816dc43168c64a0e92af815b0c734cf7&hash=EFB6E6F7D4147572DCD9F4BB66483428" alt="Glossary-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Glossary </p> <p> Our glossary explains health insurance terms related to your child's care in language that's easy to understand. Get info about HIPAA, referrals 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/pricing-transparency" class="phantom-link" title="Pricing Transparency"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/pricing-transparency-2x.jpg?h=376&w=974&rev=f55a7ae1a3f14e3ebbce19b17edfc2ae&hash=0ADAF75882885816553EAF5B89D176DC" alt="" width="2880" height="1112" /> <p class="font-larger"> Pricing Transparency </p> <p> This extensive list of hospital charges doesn't show the amount you or your insurer will actually pay. Financial advisors are available. 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