San Francisco Health Plan is more than just a healthcare program — it’s a lifeline for those who need it most. Designed to provide cost-effective care to Bay Area residents, this innovative program has been making waves in the industry. 

Whether you’re a long-time resident or new to the area, learn more about San Francisco Health Plan and how it can improve your life here. 

What Is a San Francisco Health Plan?

San Francisco Health Plan (SFHP) is a not-for-profit health plan that provides insurance to San Francisco residents. The program has served the community for over 25 years and is committed to offering high-quality, affordable health care to all.  

SFHP offers various health insurance options, including Medi-Cal (California’s version of Medicaid), Healthy Kids, and Healthy San Francisco. They also have access to a vast network of healthcare providers, clinics, and hospitals throughout the area. 

What Is Covered by SFHP?

The program covers a wide range of medical services, including doctor’s visits, hospital stays, prescription drugs, and preventative care. They also offer various add-on benefits like dental, vision, and hearing coverage. However, these may vary depending on your chosen plan. 

What Durable Medical Equipment is Covered By SFHP?

SFHP covers a variety of durable medical equipment (DME) when prescribed by your doctor. DME is equipment primarily used for medical purposes and durable enough to withstand repeated use. Some examples of DME covered by San Francisco Health Plan include: 

  • Crutches

  • Walkers

  • Manual and power wheelchairs

  • Canes

  • Oxygen concentrators

  • Tracheostomy supplies

  • Ostomy supplies

  • Incontinence supplies

  • Bariatric supplies

  • Sleep apnea supplies

  • Hospital beds

  • Lifts

  • Commodes

  • Shower chairs

  • Other medically necessary equipment

Here are a few things to keep in mind when requesting durable medical equipment from SFHP: 

  • You need a prescription from your doctor for DME to be covered. 

  • You might need prior authorization from SFHP before you can receive DME. 

  • The amount of coverage may vary depending on your plan. 

  • You may have to pay a copayment or deductible for DME. 

San Francisco Health Plan FAQs

How Do I Enroll In San Francisco Health Plan?

If you’re interested in enrolling in San Francisco Health Plan, you can follow these steps: 

  1. Determine if you’re eligible - You must be a resident of San Francisco, meet income requirements, and not have access to affordable health insurance through an employer or other program to be eligible for SFHP. 

  2. Choose a plan - Compare SFHP’s plans and select the one that best fits your needs and budget. 

  3. Apply for coverage - You can apply online, by phone, or in person at the San Francisco Health Insurance Services office. To complete the application, you must provide personal, financial, and financial information. Depending on your application, you might need additional documentation to verify your eligibility, including proof of income, residency, and citizenship. 

  4. Receive your enrollment information - Once your application is processed, you’ll receive information about your plan options and coverage. You can then choose a primary care provider and start using your benefits. 

What Are the Benefits of Enrolling in SFHP?

Some benefits of enrolling in San Francisco Health Plan include, but aren’t limited to, the following: 

Affordability 

SFHP offers various health plans, so you can find one that fits your budget. They also work with financial assistance programs to help you afford health insurance. 

Convenience

With a network of doctors and hospitals throughout San Francisco, you can easily find a provider nearby. SFHP provides online access to your healthcare, so you get care when you need it. They also offer additional benefits like dental visitation and prescription drug coverage. 

Quality Care 

All doctors and hospitals are accredited by the Joint Commission, a national organization that sets standards for healthcare quality. SFHP also has a strong focus on preventative care, helping you stay healthy while avoiding costly medical problems down the road. 

Community Focus 

Because SFHP is a not-for-profit health plan, your membership helps support the San Francisco community. The program is committed to social responsibility and gives back to the community through various programs and initiatives. 

How Much Does Enrolling in SFHP Cost?

The cost to enroll in San Francisco Health Plan depends on your income and plan type. SFHP offers various financial assistance programs to help you afford health insurance. Here’s a breakdown of the different programs and their costs: 

  • Medi-Cal - Medi-Cal is a free or low-cost health coverage program for eligible individuals and families. There are no monthly premiums or deductibles for Medi-Cal. 

  • Healthy San Francisco - A program for San Francisco residents who aren’t eligible for Medi-Cal or other health insurance programs. Their costs are based on a sliding scale, and participants pay a monthly fee based on their income; this typically ranges from $0 to $228 per month. 

  • Covered California - Covered California is the state’s health insurance marketplace, where individuals and families can shop for and compare plans. The cost of these plans depends on your income level. However, they offer financial assistance (tax credits, cost-sharing reductions, etc.) to help reduce the cost of premiums, deductibles, and copays. 

San Francisco Health Plan also offers members discounts on prescription medications and other healthcare services. To determine how much enrollment will cost, contact customer service by emailing their enrollment team or calling (888) 558-5858. 

How Do I Renew SFHP?

You can renew your SFHP coverage with the following steps: 

  • Check your renewal date. Your renewal date is listed on your insurance card and in any communications you receive from San Francisco Health Plan. Mark this date on your calendar and keep it in mind as you approach the renewal period. 

  • Gather your information. You’ll need to document your income and household size and any changes to your address or contact information. 

  • Renew online. To renew your plan online, visit SFHP’s website, log in to your account, and follow the provided instructions.

  • Renew by phone. If you prefer to renew your plan by phone, call San Francisco Health Plan’s customer service number and speak with a representative. They will be able to guide you through the renewal process and answer any questions you may have. 

  • Review by mail. If you received a renewal packet in the mail, you can renew your plan by filling out the enclosed paperwork and mailing it back to SFHP. 

It’s important to review your San Francisco Health Plan before your coverage expires to avoid any gaps in coverage. Make sure to renew before your renewal date to ensure continued access to your healthcare. 

Have Questions About SFP? 

Whether you have questions about SFHP or want to see if you qualify for a power wheelchair, we can help! Freedom Mobility offers complex rehab technology and wheelchair repair services throughout California, including San Francisco, Sacramento,  Stockton, and more! 

Contact us today for a FREE consultation or in-home assessment. We look forward to helping you find the perfect wheelchair for your needs.