San Francisco Health Plan (SFHP) is a licensed community health plan that is designed for and by the residents it serves – many of whom would not be able to otherwise obtain health care for themselves or their families. Our mission is to provide superior care across all the cultural and ethnic diverse communities that make San Francisco so unique.
SFHP was created in 1994 as one of California’s Local Health Plans – an initiative to provide affordable health coverage to low and moderate-income families residing in San Francisco. We have since grown to deliver health insurance services to approximately 55,000 San Franciscans. An excellent choice of physicians, hospitals, and clinics are all right here in San Francisco, close to where our members live and work.
In January 2002, in addition to our Medi-Cal, Healthy Families, and Healthy Workers programs, we launched Healthy Kids – a City and County-funded program, which moved San Francisco one giant step closer to universal health care coverage for all uninsured children. The program offers full medical, dental, and vision care services to children and young adults of low to moderate-income families, filling a gap for uninsured children and youth whose family income exceeds the limit for other government or state-funded programs or for those who are undocumented.
In July 2006, SFHP partnered with the San Francisco Department of Public health to develop and implement Healthy San Francisco. Healthy San Francisco is not an insurance program, but provides participants with a primary care clinic – called a “medical home” - that provides preventive, specialty, and urgent care, emergency care, mental health and substance abuse services, laboratory, inpatient services, radiology, and pharmaceuticals.
Uninsured San Franciscans aged 18-64 are eligible to apply for Healthy San Francisco regardless of employment, immigration status, or pre-existing medical conditions.
San Francisco is as unique as the people who live here. As the local health plan, we know the city; we know the people who live here; and we are tailored to respond to their needs. As a public agency, we have no stakeholders. Our revenues remain in the community and any excess is used to enhance patient services, expand coverage and overall, improve the community’s health.