Help Paying Your Bill

To be eligible for the Charity Care Program:

• The patient’s family household income may not exceed 500% of the federal poverty level; and
• The patient’s family qualified assets may not exceed $250 at time of service

To be eligible for the Discount Payment Program:

• The patient is not eligible for the Charity Care Program
• The patient’s household federal poverty level determines the amount of the discount to be applied

The Zuckerberg San Francisco General Hospital Charity Care and Discount Payment Program Policy is located on the State of California Department of Health Care Access and Information (HCAI) website.

• You must submit a complete application within 12 months from the date of when you received medical care.
• Verification required by each program must be submitted within 30 days of starting an application.
• You may mail an application to the following address:
  Zuckerberg San Francisco General Hospital
  Patient Financial Assistance Department
  1001 Potrero Ave, Building 20,
  San Francisco, CA 94110