Get help paying your bill with the Healthcare Access Program (HAP)

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You may qualify for help paying your bills from the County of Santa Clara Health System (CSCHS). Our Healthcare Access Program (HAP) provides free or discounted medically necessary services and supplies to eligible patients who (1) are uninsured or (2) have insurance and high out-of-pocket medical costs. Applicants will also be screened for Medi-Cal, Medi-Cal presumptive eligibility, Covered California, and other public healthcare programs.

A patient may be eligible for the HAP if they have gross family income below 650% of the Federal Poverty Level (FPL) AND fit into one of the following categories:

1. The patient does not have health insurance (or another source of payment for medically necessary services or supplies); OR
2. The patient has health insurance but has incurred annual out-of-pocket costs at CSCHS that are higher than 10% of the patient’s current family income or family income over the past 12 months, whichever is lower; OR
3. The patient has health insurance but they and/or their family members have paid annual out-of-pocket medical expenses that are higher than 10% of the patient’s family income.

A patient who meets one of the above categories and whose family income is at or below 400% of the FPL is eligible for 100% discounted medically necessary services or supplies. A patient who is a Santa Clara County resident and whose family income is above 400% but below 450%, 550%, or 650% of the FPL is eligible for discounts of 70%, 50%, or 25%, respectively.

*Note: Please also see this chart for health coverage eligibility information. These charts are provided for informational purposes only. Patients with incomes up to 138% of the FPL may be eligible for Medi-Cal. If ineligible for Medi-Cal, patients may qualify for a Covered California health plan with financial help.

To learn how to apply for the HAP, please review the notice and policy documents below. To get more information and free help applying for financial assistance and healthcare coverage, please contact the CSCHS Patient Access Department:

• by phone at (866) 967-4677 (TTY: 711) (8am to 5pm, Monday to Friday); or
• in person at 770 S. Bascom Avenue, San José, CA 95128 (8am to 4:30pm, Monday to Friday).