Here are some answers that you may find helpful in applying for financial assistance.
How do I apply for a Health Care Coverage Assistance Program?
To apply follow these easy steps:
- Complete a Financial Assistance Application (FAA) Packet
- Provide all required documents
- Return your completed packet to the Patient Access Department
Where can I get a Financial Assistance Application (FAA) Packet?
Packets are available at Santa Clara Valley Medical Center and Valley Health Centers. Locations to Get a Packet
What documents are required?
A number of documents are required and include Proof of Identity; Proof of Residency in Santa Clara County; Proof of U.S. Citizenship or Permanent Residency; Proof of Income and Assets. You can see the full list in the
Can I turn in a partial filled out application and just some of the documents to start the process?
No. Applications are only accepted when complete. Applications are processed only when all the required documents are included.
What if I don’t qualify for financial assistance?
Every effort will be made to see if you qualify for assistance. If you do not qualify for any discount or program, you will be notified and you will be responsible to pay for your medical bills.
Can I choose which financial assistance program I want to use?
No. Each program has set conditions and measures for acceptance. The information you provide will determine whether or not you qualify for a state or county program, a discount program, or another financial assistance program. A review of your information will determine which program best suits your needs and offers you the most financial assistance, based upon your financial qualifications.
Is all information I provide confidential?
Yes. All information you provide is held in the strictest confidence. Only authorized SCVHHS staff and official representatives of a program or agency providing services have access to your information. Federal confidentiality rules apply to your application and documents.