UCSF discount policy: 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, please call Patient Financial Services (under Contact Us, above).
Facing financial hardship? 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 UCSF’s charity care assistance.
Eligibility for charity care assistance: Families with an income at or below 400 percent of federal poverty level (FPL) guidelines are generally eligible for 100 percent assistance. You'll find income limits for the program in the table below.
Family Size |
100% Charity Care Assistance (maximum income) |
|
1 |
$60,240 |
|
2 |
$81,760 |
|
3 |
$103,280 |
|
4 |
$124,800 |
|
5 |
$146,320 |
|
6 |
$167,840 |
|
7 |
$189,360 |
|
8 |
$210,880 |
|
More than 8 |
Add $21,520 for each additional person (400% of $5,380) |
|
How to apply
If Patient Financial Services has advised you to apply for financial assistance, please complete an application in MyChart.
Alternatively, you can download the application below and send it to the address listed there.
Note: An application for charity care assistance should be completed after services are provided and is not a substitute for insurance or a guarantee of future services.