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

If eligible, you may enroll in Healthy San Francisco regardless of immigration status, employment status or pre-existing medical conditions.

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.

Furthermore, you will be asked a question about your immigration status in order to determine your potential eligibility for Medi-Cal and Medicare. This question is NOT REQUIRED. You may select “Decline to State” if you do not wish to provide this information. If you do not provide this information, the system will not be able to determine potential eligibility for Medi-Cal and Medicare. If you choose to provide this information, it will be completely confidential and will not be stored in any database. Your information will never be shared with any federal agencies, or anyone else.