Help Paying Your Bill
Contra Costa Health Services has instituted a Charity Care Program and a Discount Payment Program to enable qualifying uninsured and underinsured individuals to obtain free or discounted medical care.
Who Is Eligible for Charity Care?
Residents of Contra Costa who:
- Have income that does not exceed 180% of the federal income guidelines.
- Have assets with values no greater than $2,000 per individual or $3,000 per family, excluding retirement accounts.
- Have real property with values not exceeding $6,000.
- Are not eligible for Medi-Cal or Healthy Families.
- Are not members of HMO or PPO health insurance plans.
Citizenship or legal residency is not required. No cost to eligible persons.
Who Is Eligible for Discounts?
- Eligible individuals do not have to be residents of Contra Costa.
- Individuals whose income does not exceed 400% of the federal income guidelines.
- Individuals must be uninsured or underinsured to the extent they have out of pocket medical expenses in the prior 12 months that exceed 10% of the family income.
- Assets and real property excluded from eligibility determination.
- Citizenship or legal residency is not required.
- Eligible individuals receive a 35% discount on their medical bills.
How to Apply
Upon receipt of a billing statement from the Patient Accounting Department, a patient may be eligible for a discount. To qualify, the patient will need to complete an application and submit the required documents:
- Four most recent wage stubs for yourself and your spouse if you are married. If not available, please explain and verify how you are supporting yourself.
- A signed copy of the Rights and Responsibilities Agreement | Spanish version
Patients may also request an application from a Financial Counselor by calling 1-800-771-4270.
Patients can mail their application and required documents to:
CCRMC - Financial Counseling
2500 Alhambra Avenue
Martinez, CA 94553
The application and required documents can also be dropped off at:
Patient Accounting Department
595 Center Avenue, Suite 300
Martinez, CA 94553
Hospital Bill Complaint Program
The Hospital Bill Complaint Program is a state program that reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Visit the State's Hospital Fair Billing Program website for more information, including how to file a complaint.