Financial Need Discounts for Patients

Discounted services are now being offered for:

All self pay patients will receive a standard 40% discount on outpatient fees.
All self pay patients will receive a standard 30% discount on facility based fee.

Some patients may qualify for further reductions under our Financial Need policy.

Qualifying is based on your total income, and in some cases, on your liquid assets
You must complete the Financial Need application and provide supporting documentation for all self reported income
Annual income at 350% of the Federal Poverty Level for the current year will result in approval of your application in most cases

All personal financial information will be maintained only in our Financial Counseling Office
Information is secured in a locked file and no copies are made
Your application will not be shared with your clinician or other departments at UCSF
Your information will not be forwarded to any credit or collection companies
Your information will not appear in your medical record
Information collected will be used only to evaluate your eligibility for discounted services

Ask any receptionist for an application or download the application here (Word)
Or call our Practice Manager at 415-476-5010
Or call our Business Office at 415-476-7184

Once we receive your application, the review process takes approximately five business days
You and your clinician will be notified of the outcome of
the review
Should your application be denied, you may appeal the decision with the Director of Patient Care Services by calling 415-476-7874.
Information about this program is available in the Patient Financial Assistance (pdf)