Frequently Asked Questions

Healthy San Francisco is a program designed to make health care services available and affordable to uninsured San Francisco residents. It is operated by the San Francisco Department of Public Health (DPH).

You will meet with a HSF Application Assistor at one of our many enrollment sites across the city. Please see How Do I Apply for more information.

You can enroll at any of several enrollment sites located across the city. Please see How Do I apply for more information.

You will need three (3) types of documents. Please see Necessary Paperwork to Enroll for more information.

In most cases, yes. Check with your HSF Application Assistor during your enrollment appointment.

To keep your access to health services, participants must reapply for Healthy San Francisco every twelve months. This means that every year, you must meet with a HSF Application Assistor to fill out a new application and submit updated copies of some documents. Please see Time to Renew for more information.

For general questions or to apply or renew your HSF coverage, Customer Service representatives are available Monday through Friday from 8:30am to 5:30pm. HSF Customer Service can be reached in the following ways:
Participants & Visitors: (415) 615-4555
TDD/TTY for People who are Deaf, Hard-of-Hearing, or have Speech Disabilities: (415) 547-7830
Email us at info@healthysanfrancisco.org
Write us at: Healthy San Francisco, P.O. Box 7146, San Francisco, CA 94120

There are two types of fees, Participant and Point of Service Fees. Fees will vary based on your income. Please see “Fees” for more information.

There are no costs to renew.

Your Healthy San Francisco coverage will expire 12 months after you enroll on your Coverage Start Date if you do not renew. In order to ensure continuous coverage, be sure to schedule an appointment as soon as possible. You need to make sure that you don’t lose your Healthy San Francisco services, your Medical Home or your doctor.

To renew your HSF coverage, make an appointment with an Application Assistor at your Medical Home, or any other HSF Enrollment Site by clicking here

A Medical Home is the facility (in most cases, a clinic) where a primary care provider will provide your medical care. Participants access medical services through their Medical Home. It is the first place a Healthy San Francisco Participant should call with questions about medical care or treatment.

Healthy San Francisco Participants select a medical home where they receive primary health care services. At some medical homes, Participants may have a Primary Care Provider (PCP), or health care professional they will see during their clinic appointments.

Participant requests to change their medical home during the enrollment year can be made only by contacting HSF Customer Service and ONLY for at least one of the following reasons listed here.

For a complete list of covered services please see Covered Medical Services for more information.

For a list of non-covered services please see Covered Medical Services for more information.

In order to get a new HSF ID card, please call Healthy San Francisco Customer Service at (415) 615-4555.

We are here to help. Please see Healthy San Francisco Customer Service for more information about filing a complaint.x

You can find a complete list of Medical Homes by clicking here. Medical homes can open and close at any time. For more information about the status of a HSF medical home, please contact HSF Customer Service at (415) 615-4555.

Pharmacies are linked to your Medical Home. Please refer to the Medical Home Directory for more information.

Specialty care must be coordinated with your health care provider at your Medical Home. Some Medical Homes have specialists on staff who can treat you. Others will refer you to specialists at one of the hospitals in your Medical Home Network. Please contact 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 have access to employer coverage, Health Insurance is always better. If your employer has made a payment on your behalf to the City Option Program, visit www.sfcityoption.org for more information about how you can use those funds for health care.

If your employer has made a payment to the City Option Program on your behalf, you will be mailed an information packet with details on how to use those funds. If you do not receive a packet, you may call (415) 615-4500 for more information about your account. For more information about the City Option Program, visit www.sfcityoption.org.

No. Healthy San Francisco does not currently cover dental or vision services. Please see Covered Medical Services for more information.

The San Francisco Health Care Security Ordinance (HCSO) is enforced by the Office of Labor Standards Enforcement. For more information about the HCSO, please visit the Office of Labor Standards Enforcement website at www.sfgov.org/olse/hcso. To contact the Office of Labor Standards Enforcement with specific questions, please email HCSO@sfgov.org or call
(415) 554-7892. The City Option Program is one option for Employers to comply with the Health Care Security Ordinance. Our program includes Healthy San Francisco and Medical Reimbursement Accounts for employees. Please visit the City Option website at www.sfcityoption.org for more information.

The City Option Program includes Healthy San Francisco and Medical Reimbursement Accounts for Employees. Please visit the City Option website at www.sfcityoption.org for more information.