Frequently Asked Questions

Healthy San Francisco (HSF) is a program that makes health care accessible and low-cost for San Franciscans without health insurance. It is run by the  San Francisco Department of Public Health (DPH).

Set up a meeting with an HSF Application Assistor at one of our enrollment sites across the city. Please see How Do I Apply? to learn more.

You can apply for HSF at any of our enrollment sites found across the city. Please see
How Do I Apply? to learn more.

You will need 3 types of documents. Learn more about what you need to bring:  
Necessary Paperwork to Enroll.

In most cases, yes. Make sure to ask your HSF Application Assistor during your enrollment appointment.

Each year you must reapply for HSF. Without reapplying, you will lose your health care coverage and access to services.

To reapply, you must meet with an HSF Application Assistor to fill out a new application every year. You must reapply with updated documents. Find out more about renewing your HSF enrollment: Time to Renew.

Our HSF Customer Service team can help you with any questions you have. You can also call them to apply or reapply for HSF.

Customer Service Agents are available Monday—Friday
from 8:00am—5:00pm.

Participants & Visitors: 1(415) 615-4555

TDD/TTY for People who are Deaf, Hard-of-Hearing,
or have Speech Disabilities: 1(415) 547-7830

Email us at [email protected]

Write us at: Healthy San Francisco, P.O. Box 194287, San Francisco, CA 94120

There are two types of fees:

  • Participant Fees
  • Point of Service (POS) Fees

Fees will change based on your income. Please see “Fees” for more information.

There are no costs to renew with HSF.

Your HSF coverage will end 12 months after you enroll on your Coverage Start Date. You must make sure to renew before your coverage expires. Make an appointment to make sure your enrollment is up to date.

If your coverage ends and you don’t reenroll, you will lose access to your:

  • HSF services
  • Medical Home
  • Doctor

To renew your HSF coverage, make an appointment with an Application Assistor. They can be found at your Medical Home or any of our HSF Enrollment Sites. Find an enrollment site near you: Enrollment Sites.

A Medical Home is the facility (in most cases, a clinic) where your regular doctor will provide you with health care. You will be able to access all your care and services through your Medical Home. Medical Homes are the first place you should call with questions about your health care or treatment.

When you enroll, you will choose a Medical Home where you will get primary health care services. At certain Medical Homes, you may have a Primary Care Provider (PCP) or health care professional that you will see regularly for care.

Yes, but to be approved the request must meet these conditions:

  • The request is made during the enrollment year by contacting HSF Customer Service
  • The request is made for at least one of the reasons listed here.

Learn more about all our covered services: Covered Medical Services.

Learn more about the services we don’t cover: Covered Medical Services.

Please call HSF Customer Service at 1(415) 615-4555 to get a new ID Card.

We are here to help get the best care and solve any issues you may have. Find out how to get help or file a complaint: Healthy San Francisco Customer Service.

You can find a full list of Medical Homes here. Medical Homes can open and close at any time.
For updated information about an HSF Medical Home, please call HSF Customer Service at 1(415) 615-4555.

Pharmacies are connected to your Medical Home. Learn more about your Medical Home’s Pharmacy: Medical Home Directory.

Your health care provider at your Medical Home will send you to a specialist. Specialists are located at one of the hospitals in your Medical Home network. Some Medical Homes also have specialists on staff who can treat you. Please call your health care provider at your Medical Home for all health concerns.

Healthy San Francisco is a health access program with limited services. If you can get health coverage through your employer, that is a much better option. If your employer has made a payment for you to the SF City Option Program, visit sfcityoption.org to learn how you can use those funds for health care.

You will be mailed an information packet telling you how to use the funds your employer transferred to the SF City Option Program for you. If you do not get a packet, call 1(415) 615-4500 to learn more about your account. To find out more about the SF City Option Program, visit sfcityoption.org.

No. HSF does not currently cover dental or vision care. Learn more about the care that HSF covers: Covered Medical Services.

The San Francisco Health Care Security Ordinance (HCSO) is put in place by the Office of Labor Standards Enforcement. To learn more about the HCSO, visit the Office of Labor Standards Enforcement website: sfgov.org/olse/hcso

To contact the Office of Labor Standards Enforcement, email [email protected] or call 1(415) 554-7892.

Employers must meet the HCSO standards. The SF City Option program is one way to do this. SF City Option covers both Healthy San Francisco and SF Medical Reimbursement Accounts for employees. To learn more, visit the SF City Option website: sfcityoption.org.

HSF is a part of the SF City Option Program, which also covers SF Medical Reimbursement Accounts for employees. To learn more about contributing to SF City Option for your employees, visit the SF City Option website: sfcityoption.org.