Depending on your income and family size, you may qualify for financial help to pay these costs.
For most programs, medically necessary services are covered. This includes preventive care and well-care visits for men, women, and children. Other benefits include immunizations, cancer screenings, prescriptions, laboratory services, behavioral health services, hospital, and emergency care.
The County of Santa Clara Health System is here to help. Santa Clara County residents who cannot be on other programs because of citizenship, residency, age, or other reasons still get care a nearby clinic.
To apply follow these easy steps:
- Complete a Financial Assistance Application
- Provide all required documents
- Return your completed packet to the Patient Access Department
Several documents are required and include Proof of Identity; Proof of Residency in Santa Clara County; Proof of U.S. Citizenship or Permanent Residency; Proof of Income and Assets. You can see the full list in the Document Checklist.
No. Applications are only accepted when complete and processed only when all the required documents are included.
Every effort will be made to find a program you can qualify for. If you do not qualify for any discount or program, you will be notified, and you will be responsible to pay for your medical bills.
No. Each program has set conditions and measures for acceptance. The information you provide will determine whether you qualify for a state or county program, a discount program, or another financial assistance program. A review of your information will determine which program best suits your needs and offers you the most financial assistance, based upon your financial qualifications.
Yes. All information you provide is held in the strictest confidence. Only authorized employees and official representatives of a program or agency providing services have access to your information. Federal confidentiality rules apply to your application and documents.