Eligibility & Enrollment
Eligibility
To join San Francisco Health Plan, you must be eligible and enrolled in one of our health coverage programs and in addition be living in San Francisco. Each program has its own eligibility guidelines. Which program you may be eligible for depends on household income, family size, and age.
Our Enrollment Team provides application assistance for Medi-Cal. To find out if you or a member of your family might qualify for one of these programs, contact us to see which program is right for you. You can do this by emailing our Enrollment Team or by calling
Enrollment
Medi-Cal enrollment is open year round.
See if you or your child qualifies.
How to Apply
The first step to enrolling with San Francisco Health Plan is to see if you or your child qualifies for any of our programs. To figure out which program is right, we’ll ask a few questions about family income, age, San Francisco residency and in some cases student or parental status.
The SFHP Service Center is a place where you can go to get information on health care access options that are available for you and your family. Our Enrollment Team is available, by appointment, to provide application assistance for the Medi-Cal, Healthy San Francisco, and San Francisco City Option Programs. Learn more about our Service Center.
Do I Qualify?
You or your child may qualify for one of our programs if you fit into one of the following categories:
| Medi-Cal 0 to 19 years old (0-266% FPL) | Medi-Cal adults (0-138% FPL) | |||
|---|---|---|---|---|
 |
|
|||
| Family Size | Monthly Gross Income | |||
| 1 | Up to $3,232 | Up to $1,677 | ||
| 2 | Up to $4,374 | Up to $2,269 | ||
| 3 | Up to $5,512 | Up to $2,860 | ||
| 4 | Up to $6,650 | Up to $3,450 | ||
| 5 | Up to $7,792 | Up to $4,043 | ||
| 6 | Up to $8,930 | Up to $3,747 | ||
- We have several programs and will help you find the right one
- Your children may qualify even if they are not legal residents
If you think you don’t fit into one of these categories, or if you are not sure if you do, contact our Enrollment Team by calling 1(888) 558-5858 Monday – Friday, 8:30am to 5:30pm. Asking a member of our Enrollment Team is the best way to know for sure if you qualify for one of our health care coverage programs.
Starting June 6th, 2022, the SFHP Service Center will be open three days a week for in-person application and enrollment services. Appointments are now available both in-person and by phone.
You can make appointments for both phone and in-person by calling SFHP Customer Service at:
Phone: 1(415) 777-9992 or 1(888) 558-5858
In-person appointments are available on:
Tuesday and Thursday 8:30am – 5:00pm
Wednesday 8:30am – 4:00pm (closes at 3:00pm every 3rd Wednesday of the month)
Phone appointments are available on:
Monday to Friday 8:30am – 5:00pm
Saturday 8:30am – 12:00pm