Help Paying Your Bill

Contra Costa Health (CCH) 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 400% of the federal income guidelines.
• Are not eligible for Medi-Cal.
• 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 full or partial discount. To qualify, the patient will need to complete an application/ Spanish application and submit the required documents:

• Four most recent wage stubs for yourself and your spouse if you are married. If not available, please use the CCH Self-Attestation Document| CCH Self-Attestation (Spanish) to explain and verify how you are supporting yourself
• A signed copy of theRights and Responsibilities Agreement | Spanish version

Patients may request an application and supporting documents 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.

Resources

• Charity Care Policy
• Assistance for Uninsured and Underinsured Patients Policy

Additional Information

The following site allows patients to view price estimates for upcoming services at CCRMC and the Health Centers: MyChart - Patient Estimates

Medi-Cal Presumptive Eligibility allows CCRMC and the Health Centers to grant temporary Medi-Cal coverage immediately, without requiring full documentation. This program ensures that uninsured individuals can access medical care (including pregnancy related services) while their full Medi-Cal application is processed. Eligibility is determined at the time of admission/registration based on the patient's self-attestation. Coverage lasts up to 60 days while the full Medi-Cal application is processed. Coverage is granted once every 12 months.

For more information about how to enroll into an insurance program through Covered CA, visit Covered California™ | The Official Site of California's Health Insurance Marketplace.

Attention:

If you need information in your language about available programs that can help you pay your bill, please call 1-800-771-4270 or visit the Contra Costa Regional Medical Center's Admissions Office located at 2500 Alhambra Avenue, First Floor, Martinez, CA 94553. Please call or visit the office between 8:00 a.m. and 5:00 p.m., Monday through Friday. Aids and services for people with disabilities, like documents in braille, large print, audio, and other accessible electronic formats, are also available. These services are free.