You may qualify for Healthy San Francisco if you are ALL of the following:

    • A San Francisco resident
    • Age 18 or over
    • Uninsured
    • Not eligible for public insurance programs such as Medi-Cal or Medicare
    • Living in a household with an income at or below 500% of the Federal Poverty Level

Find out if you may be eligible by answering the questions below.

Note: This form is completely anonymous and none of the data entered will be saved anywhere in the system. Additionally, the member name field has no effect on the eligibility determination process and is solely used for the ease of displaying results. Therefore, if you do not feel comfortable entering your real name, you are welcome to use an alias.