Financial Assistance

At UCSF Benioff Children's Hospitals, we're committed to helping patients who don't have the means to pay for emergency care and other medically necessary health care services. See below to learn about our financial assistance program and how to apply.

Assistance programs

If your child doesn't have health insurance, or if you're seeking care that isn't covered by your insurance plan, your child is considered a self-pay patient. All self-pay patients are eligible for a discount at UCSF Health. To learn more about our discount policy, please contact Financial Counseling at the number below.

If you're facing financial hardship, we encourage you to apply to Medi-Cal and other government programs that may be of assistance. If you don't qualify for those programs, or if you have substantial financial liabilities despite having insurance, you may qualify for UCSF's charity care assistance.

Those with a family income at or below 400 percent of federal poverty level (FPL) guidelines are generally eligible for 100 percent assistance. The table below shows the criteria for receiving 100 percent financial assistance.

Family size	100% charity assistance income level
1	$51,040
2	$68,960
3	$86,880
4	$104,800
5	$122,720
6	$140,640

How to apply

If Patient Financial Services has advised you to apply for financial assistance, please visit the Patient Financial Assistance Portal. You may also download the application below and send it to the address listed on the application.

Application and policy

Estimate out-of-pocket costs

We want you to be fully informed about any out-of-pocket costs for your child's care. To speak with a financial advisor and get a personalized estimate, call one of the financial counseling teams listed below, depending on where your child will receive care. Or click "Get an estimate online" to see out-of-pocket costs for our most common services.