Patients

Sliding Fee Discount Program

Care for everyone — regardless of income, insurance, or immigration status. We don't turn anyone away for inability to pay.

Our promise

No patient will be denied healthcare services due to an individual's inability to pay for such services. A discounted fee schedule is available based on family size and income, in accordance with Section 330 of the Public Health Service Act and 42 CFR §51c.303. Discounts apply to medical, dental, behavioral health, and other in-house services.

Discount schedule (2025 Federal Poverty Guidelines)

Discount is based on family income as a percentage of the U.S. Department of Health & Human Services Federal Poverty Level (FPL). The schedule is updated each January when HHS publishes new guidelines. Specific dollar brackets for your household size are posted at every clinic registration desk and available by phone.

MNHC sliding fee discount schedule — discount tier and patient responsibility by income band.
Income (% of FPL)	Discount	Patient pays
At or below 100% FPL	Full discount	Nominal fee only (call (415) 552-3870 for the current amount)
101% – 138% FPL	80% discount	20% of full fee
139% – 175% FPL	60% discount	40% of full fee
176% – 200% FPL	40% discount	60% of full fee
Above 200% FPL	No discount	Standard fee schedule

Pharmacy, lab, imaging, and specialist referrals are billed separately and may not qualify for the same discount. Ask the front desk for the full fee schedule and additional service-specific discounts.

Who qualifies

Every patient — insured or uninsured, documented or undocumented, employed or not — is invited to apply. Eligibility is based only on family size and household income, not on immigration status, social security number, or proof of address.

Open to all MNHC patients across all five clinic sites.
Recertification is required once a year, or sooner if your income changes.
If you cannot provide income documentation, you may complete a self-attestation form.
Patients who refuse to provide income information are charged the standard fee.

What to bring to apply

Photo ID for the head of household (any government-issued ID is fine — driver's license, passport, consular ID, Municipal ID).
Proof of household income for the past 30 days (recent pay stubs, Social Security or unemployment letter, self-employment ledger, or a signed self-attestation form).
Proof of household size (tax return OR a signed declaration listing dependents).
If you have insurance, your insurance card. If you have no insurance, that is OK — we will help you apply for Medi-Cal, Healthy SF, or Covered California if you qualify.

Bilingual English/Spanish enrollment counselors are available at every clinic to walk through the form with you. The application takes about 15 minutes.

How to apply

Walk in to any of our five clinic locations during business hours and ask the front desk for a sliding-fee application.
Or call (415) 552-3870 (Mon–Fri 8am–5pm) to be connected with an enrollment counselor.
Existing patients can also bring documentation to their next appointment — we will apply the discount retroactively to that visit.

Your rights

MNHC will not deny services, refuse to schedule appointments, or otherwise discriminate based on your enrollment in the Sliding Fee Discount Program, your ability to pay, your insurance status, or your immigration status. If you believe you have been treated unfairly, you may file a complaint at no risk of retaliation with our compliance officer (compliance@mnhc.org · (415) 552-1013 ext. 2225) or with HRSA at hrsa.gov/about/contact.

Discount schedule (2025 Federal Poverty Guidelines)

MNHC sliding fee discount schedule — discount tier and patient responsibility by income band.
Income (% of FPL)	Discount	Patient pays
At or below 100% FPL	Full discount	Nominal fee only (call (415) 552-3870 for the current amount)
101% – 138% FPL	80% discount	20% of full fee
139% – 175% FPL	60% discount	40% of full fee
176% – 200% FPL	40% discount	60% of full fee
Above 200% FPL	No discount	Standard fee schedule

Who qualifies

Open to all MNHC patients across all five clinic sites.

Recertification is required once a year, or sooner if your income changes.

If you cannot provide income documentation, you may complete a self-attestation form.

Patients who refuse to provide income information are charged the standard fee.

What to bring to apply

Photo ID for the head of household (any government-issued ID is fine — driver's license, passport, consular ID, Municipal ID).

Proof of household income for the past 30 days (recent pay stubs, Social Security or unemployment letter, self-employment ledger, or a signed self-attestation form).

Proof of household size (tax return OR a signed declaration listing dependents).

If you have insurance, your insurance card. If you have no insurance, that is OK — we will help you apply for Medi-Cal, Healthy SF, or Covered California if you qualify.

Bilingual English/Spanish enrollment counselors are available at every clinic to walk through the form with you. The application takes about 15 minutes.

How to apply

Walk in to any of our five clinic locations during business hours and ask the front desk for a sliding-fee application.

Or call (415) 552-3870 (Mon–Fri 8am–5pm) to be connected with an enrollment counselor.

Existing patients can also bring documentation to their next appointment — we will apply the discount retroactively to that visit.