How to Renew San Francisco Health Plan

Renewing your health plan is essential to ensure uninterrupted access to quality healthcare services in San Francisco.

Whether you’re a current resident or recently moved to the area, here’s what you need to know about the San Francisco Health Plan renewal process, including key dates, eligibility requirements, and documentation to help you navigate the process with confidence and ease.

What Is San Francisco Health Plan?

San Francisco Health Plan (SFHP) is a managed care health insurance program that provides affordable services to low-income residents of the Bay Area. SFHP offers different plans, such as Medi-Cal, Healthy Workers HMO, and Healthy San Francisco, depending on your eligibility and income level.

The steps to renew your SFHP coverage depend on your enrollment program.

Medi-Cal

Your Medi-Cal qualification is reviewed annually to ensure ongoing eligibility. The Medi-Cal office carefully assesses and cross-references your case file with their records. Pay close to any correspondence from their office because it’ll inform you of your eligibility status.

Sometimes, you might need to submit additional information for the reassessment process. If requested, promptly provide the required documentation to keep your Medi-Cal coverage. For questions or more information, you can contact their office at 415-558-4700.

Healthy Worker HMO

If you’re a provider of In-Home Support Services (IHSS), IHSS Public Authority, Homebridge, or a temporary exempt employee of the City and County of San Francisco, you may be eligible for the Healthy Workers HMO program. Follow the steps below to renew your coverage:

Watch for your annual renewal notification letter in the mail. The day you’re accepted into the program is called your anniversary date.
Once you receive your renewal notice, make an appointment with a Certified Application Assistor (CAA). Their contact information will be in the letter you get.
Bring your renewal notice and any required documents to your appointment. The CAA can help you complete the renewal process and answer any questions.

Healthy San Francisco

If you’re enrolled in Healthy San Francisco, you must renew your coverage yearly to continue receiving care.

You should receive a renewal notice from SFHP indicating the deadline for renewing your coverage. Read it carefully to understand the required actions and any documentation needed for the renewal. Then, complete and submit your renewal form online or by mail.

Try to renew your coverage at least 30 days before your current enrollment period ends. Otherwise, you might have to reapply for the program if you don’t finish it in time.

What Documentation Do I Need?

While this depends on your eligibility, you’ll typically need to provide the following information:

Proof of income - Recent pay stub, tax return, or letter from your employer.
Proof of residency - Utility bill, lease agreement, or driver’s license.
Proof of citizenship or legal residency - Passport, green card, or other immigration document.
Proof of household size - Birth certificate or other document showing your birth date.

Here are some additional tips for renewing your SFHP coverage:

Renew early - The deadline to renew your coverage is the last day of the month when your coverage expires.
Check your eligibility - Your eligibility may change from year to year. Be sure you meet the qualifications before you renew your coverage.
Keep your information updated - If your income, household size, or other information changes, update it with SFHP as soon as possible.

Who Is Eligible for San Francisco Health Plan?

Each program has its own guidelines, and your eligibility depends on factors such as household income and family size. To enroll, you must meet the following criteria:

Residency - You must be a resident of San Francisco, including living within the city limits and meeting the residency requirements.
Income - SFHP is designed to serve low-income individuals and families. You must have a household income below a certain level, depending on your family size and the program you qualify for.
Other programs - You’re not eligible for other public health insurance programs, such as Medi-Cal or Medicare.

What Are the Benefits of Enrolling in SFHP?

If you aren’t already a member, here are some of the benefits of joining San Francisco Health Plan:

SFHP is an award-winning, managed care health plan that has served the San Francisco community for over 25 years.
They offer a wide range of benefits and services, such as preventative care, specialty
care, durable medical equipment, and more!
The organization partners with local providers and medical groups to ensure you receive high-quality and culturally competent care.
They’re considered the #1 choice for Medi-Cal in San Francisco, serving over 145,000 members across various programs.

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