CHINESE HOSPITAL

SAN FRANCISCO, CA · version 2 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Self-Pay Patients with family income: 200% or less of the Federal Poverty Level Zero"

documented · checked 2026-10-10 · policy summary/intent

eligibility.asset_testYes

"Additionally, SB 1276 stipulates that only 50% of monetary assets after the first $10,000 may be counted toward eligibility."

documented · checked 2026-10-10 · policy summary/intent

eligibility.insured_patients_coveredYes

"An insured patient with non-covered charges."

documented · checked 2026-10-10 · DEBT COLLECTION POLICY

apply.documents_requiredPay stubs
Tax return

"For purposes of determining eligibility for Charity Care and/or Discount Payment, documentation of income shall be limited to recent paystubs or recent income tax returns."

documented · checked 2026-10-10 · Financial Assistance Policy

apply.submit_methodsMail: Your appeal must be made in writing, addressed to the Patient Financial Services Director and mailed to the address on this letter.

"If you believe this decision is an error, you have the right to submit an appeal. Your appeal must be made in writing, addressed to the Patient Financial Services Director and mailed to the address on this letter. If you have any questions, please feel free to contact us at (415) 677-2314 during normal business hours."

documented · checked 2026-10-10 · Financial Assistance Policy

contacts.phone(415) 677-2314

"If you have any questions, please feel free to contact us at (415) 677-2314 during normal business hours."

documented · checked 2026-10-10 · Financial Assistance Policy

Sources

Financial Assistance Policy — fetched 2026-10-10

DEBT COLLECTION POLICY — fetched 2026-10-10

Chinese Hospital Financial Assistance Program Policy — fetched 2026-10-10

policy summary/intent — fetched 2026-10-10