SF 311 - 24x7 Customer Service Center

 Program participants have their own customer service center.  They can call (415) 615-4555 or visit their website at http://www.healthysanfrancisco.org/participants/ for all matters including:

• Questions about service
• Haven't received the participant ID card
• Changes to their participant information
• Complaints about service
• Scheduling appointments
• And everything else...

The PARTICIPANT CUSTOMER SERVICE CENTER hours are Monday through Friday, 8:30am to 5:30pm.

The participant customer service number is also printed on the back of their participant ID card. 

English,

Chinese,

Spanish,

Russian -- coming soon

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What is Healthy San Francisco?

Healthy San Francisco is not insurance!

Click here for differences between HSF and insurance

Am I eligible for Healthy San Francisco?

You may be eligible for Healthy San Francisco if you. . .

• Live in San Francisco and provide proof of San Francisco residency.

• Have been without employer-based or individually-purchased health insurance for at least 90 days from the date of submitting an application, or have lost employer-based health care coverage within 90 days of date of submitting an application due to a change in employment, or who have lost COBRA coverage within 90 days of submitting an application;
  
  
• Are NOT ELIGIBLE for California and/or federally-funded health insurance or assistance programs, such as Medi-Cal.
  
  
• Between the ages of 18 and 64
  
  

Different segments of the population are eligible to enroll in the program at different times.

*Must have an appointment with the clinic.

Click on the following link for up to date information on when to apply: http://www.healthysanfrancisco.org/visitors/When_To_Apply.aspx

Neither employment status, immigration status nor the existence of pre-existing health conditions are used to determine eligibility in Healthy San Francisco.

How do I prove San Francisco residency?

• Pay stub from a paycheck received within the last 45 days that includes a current address
• Active school ID card with a current address
• Unexpired driver's license or state-issued ID card
• Phone, PG&E, or medical bill received within the last 45 days
• Bank statement received within the last 45 days
• Tax return signed within the last 45 days
• Unexpired matricula (an ID issued by the Mexican Consulate)
• Rental receipt received within the last 45 days

I meet the eligibility requirements, WHEN can I enroll?

- All SF Department of Public Health Clinic members UNDER the 100% FPL (Federal Poverty Level) who currently have an appointment with their clinic can enroll -- click here to see list of clinics

- All San Francisco Community Clinic Consortium Clinics members UNDER the 100% FPL (Federal Poverty Level) and who currently have an appointment with their clinic can enroll -- click here to see list of clinics

This link contains complete enrollment information: http://www.healthysanfrancisco.org/visitors/When_To_Apply.aspx

To enroll - Click here for instructions on HOW to enroll!

1. If it is determined that they are with a DPH Clinic (see list of clinics) and meet the above criteria they should the Enrollment Eligibility Unit at (415) 206-7800.
   
   
2. If the caller is part of a Consortium Clinic they should then call the medical home/clinic (see list of clinics) to make an APPOINTMENT to meet with an eligibility specialist!

BEST WAY TO ENROLL IS TO MEET WITH AN ELIGIBILITY WORKER OR CAA (Certified Application Assistors)!

For more go to HSF website

How do I know if I'm under the Federal Poverty Level (FPL)?

Use the FPL calculator to get a general idea of where you are on the Federal Poverty Level (FPL) and how that relates to the sliding scale payment fees: http://www.healthysanfrancisco.org/visitors/Participant_Costs.aspx

How much does it cost?

• Participant fee to maintain enrollment in program paid four times per year. But if under 100% of FPL there is no fee.
  
  
• Point-of-service fees when accessing services (insurance equivalent would be co-pay)
  
  

The actual fees are determined on a sliding scale. Exact fees will not be known until the participant enrolls into the program.

Click here to for the sliding scale table including the interactive FPL (federal poverty level) Calculator: http://www.healthysanfrancisco.org/visitors/Participant_Costs.aspx

Participants will be responsible for any cost of care delivered outside the HSF provider network (within and outside of San Francisco)

Can I get access to care outside of San Francicso?

Health San Francisco (HSF) IS NOT insurance! 

IF YES -- Check to see if it's a Department of Public Health (DPH) medical home or SF Consortium Clinic: Click here for the list: http://www.healthysanfrancisco.org/visitors/Medical_Homes.aspx

• If DPH medical home -- call DPH Eligibility and Enrollment Unit: 415.206.7800
  * There is a live person assigned to this number from 8am to 5pm. There is no opportunity to leave a message. If someone doesn't answer, you will need to call back.
  
  
• If SF Consortium Clinic -- contact the Clinic/Medical Home you are currently associated with.
  Go to this link http://www.healthysanfrancisco.org/visitors/Medical_Homes.aspx then click on the name for contact information.

IF NO --

• Enrollment information can be mailed. Click on this link to submit the contact information: http://www.sfhp.org/HealthySanFrancisco/forms/Info_Requests.aspx
  
  
• Any questions that you may have may be answered on the Healthy San Francisco website http://www.healthysanfrancisco.org

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List of Medical Homes:  http://spreadsheets.google.com/pub?key=pxo7ZlkrHyglpYotiRIkGXg

List of Clinics: http://www.healthysanfrancisco.org/visitors/Medical_Homes.aspx

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