# County of Santa Clara

Health center organization in Gilroy, CA. The federal rule for health centers.

County of Santa Clara charges a lower, sliding fee based on income to patients whose household has a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. Federal health center rules require this sliding fee at or below 200% of the federal poverty level. Ask the front desk for the sliding fee application.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | not found | $31,920 |
| 2 | not found | $43,280 |
| 3 | not found | $54,640 |
| 4 | not found | $66,000 |
| 5 | not found | $77,360 |
| 6 | not found | $88,720 |

Dollar amounts use the 2026 federal poverty guidelines.

## How to apply

- Call (408) 686-2209 and ask for financial assistance.
- [Health center website](https://www.sccgov.org)

## Sites

- Valley Health Center Gilroy, 7475 Camino Arroyo, Gilroy, CA 95020, (408) 686-2209
- Valley Health Center Milpitas, 143 N Main St, Milpitas, CA 95035, (408) 885-5713
- Valley Health Center - Morgan Hill, 18550 De Paul Dr, Suite 208, Morgan Hill, CA 95037, (669) 263-4017
- Santa Clara Valley Dentalcare - Mountain View El Camino Real, 2486 W El Camino Real, Mountain View, CA 94040, (408) 373-7354
- Valley Health Center - North County, 4151 Middlefield Rd, Palo Alto, CA 94303, (669) 663-4017
- Homeless Clinic at HomeFirst Shelter, 2011 Little Orchard St, San Jose, CA 95125, (408) 294-2100
- Hope Clinic, 725 E Santa Clara St, Suite 300, San Jose, CA 95112, (408) 373-7534
- Medical Clinic at Reentry Resource Center San Jose, 151 W Mission St, San Jose, CA 95110, (669) 263-4017
- O'Connor Medical Clinic Forest #103, 2100 Forest Ave, Suite 103, San Jose, CA 95128, (408) 373-2548
- O'Connor Medical Clinic Forest #104, 2100 Forest Ave, Suite 104, San Jose, CA 95128, (408) 885-5348
- O'Connor Medical Clinic Hospital Campus, 2101 Forest Ave, San Jose, CA 95128, (408) 373-7354
- VHC Moorpark - Diagnostic Imaging, 2400 Moorpark Ave, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark - Lab, 2400 Moorpark Ave, Suite 105, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark - PACE Clinic, 2400 Moorpark Ave, Suite 316, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark -Internal Medicine, 2400 Moorpark Ave, Suite 204, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark Urgent Care, 2400 Moorpark Ave, Ste 118, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark- Internal Medicine, 2400 Moorpark Ave, Suite 220, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark-Internal Medicine, 2400 Moorpark Ave, Suite 212, San Jose, CA 95128, (408) 885-7049
- VHC Moorpark-Maternal Fetal Medicine, 2400 Moorpark Ave, Suite 100, San Jose, CA 95128, (408) 885-7049
- Valley Health Center - San Jose 1410, 1410 S Bascom Ave, San Jose, CA 95128, (408) 408-6000
- Valley Health Center Downtown, 777 E Santa Clara St, San Jose, CA 95112, (408) 885-5348
- Valley Health Center East Valley, 1993 McKee Rd, San Jose, CA 95116, (408) 254-6311
- Valley Health Center Lenzen, 976 Lenzen Ave, San Jose, CA 95126, (408) 792-5509
- Valley Health Center Lenzen, 976 Lenzen Ave, San Jose, CA 95126, (408) 792-5509
- Valley Health Center Lundy, 1996 Lundy Ave, San Jose, CA 95131, (408) 792-5200
- Valley Health Center McKee, 227 N Jackson Ave, San Jose, CA 95116, (669) 263-4017
- Valley Health Center San Jose, 750 S Bascom Ave, San Jose, CA 95128, (408) 885-4660
- Valley Health Center Tully, 500 Tully Rd, San Jose, CA 95111, (408) 494-7461
- Valley Heatlh Center Alexian, 2101 Alexian Dr, San Jose, CA 95116, (408) 272-6050
- Youth Health Center, 455 Oconnor Dr, San Jose, CA 95128, (408) 885-7709
- Youth Health Center SPARK, 39 Oconnor Dr, San Jose, CA 95128, (669) 263-4017
- Valley Health Center Sunnyvale, 660 S Fair Oaks Ave, Sunnyvale, CA 94086, (408) 992-4980

## State program in California

### Hospital Fair Pricing Act (Health and Safety Code 127400 et seq.)

Every licensed general acute care, acute psychiatric, and special hospital in California must have a charity care policy and a discount payment policy. A patient can ask for help if they are uninsured (self-pay) or have high medical costs, and their family income is not more than 400% of the federal poverty level. Hospitals may choose to help people with higher incomes. With a discount, the bill is capped at about what Medicare or Medi-Cal would pay, whichever is greater. You can apply at any time, even after a bill goes to collections. Immigration status does not affect eligibility.

Income levels in the program are discount up to 400% of poverty level.

Applies to each licensed general acute care hospital, acute psychiatric hospital, and special hospital in California.

How to apply. Apply to the hospital's financial assistance office. Each hospital's policies and applications are posted on its website and on HCAI's Hospital Fair Pricing Policy Lookup (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-fair-pricing-policy-lookup/).

> Is a self-pay patient OR a patient with high medical costs; AND Patient's family income is not more than 400 percent of the federal poverty

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/frequently-asked-questions/, checked 2026-11-10

### Hospital Bill Complaint Program (HCAI)

A free state program at HCAI. If a hospital wrongly denied you financial assistance, did not tell you about its programs, or sent you to collections the wrong way, you can file a complaint online (English and Spanish) or by mail (many languages). You must have applied to the hospital first for HCAI to review an eligibility decision. If HCAI finds you paid too much, the hospital must refund you within 30 days. It covers problems on or after January 1, 2022. It does not handle general billing disputes, price transparency, Good Faith Estimates, or bills from emergency room doctors.

Applies to complaints about any hospital covered by the Hospital Fair Pricing Act.

How to apply. File online through the Patient Complaint Portal (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/should-i-file-a-complaint/) or mail the Patient Complaint Form to Department of Health Care Access and Information, Hospital Bill Complaint Program, 2020 West El Camino Avenue, Suite 1101, Sacramento, CA 95833.

> If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program.

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/, checked 2026-11-10

### Emergency physician discount rule

Most hospital policies cover only the hospital's own bill. Emergency room doctors often bill separately. California law also requires an emergency physician to give discounts to uninsured patients and patients with high medical costs whose family income is at or below 400% of the federal poverty level. Ask the doctor group's billing office for its discount policy. HCAI's complaint program does not handle emergency doctor bills.

Income levels in the program are discount up to 400% of poverty level.

Applies to emergency physicians who provide emergency medical services in a California hospital that provides emergency care.

How to apply. Ask the emergency physician group named on the bill for its discount payment policy.

> an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounted care

Source https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=c7bdd7eb-bcc0-4a84-bcab-a21b5e578d9c, checked 2026-11-10

### LA County Health Services Ability to Pay (ATP) Program

The financial assistance program for LA County residents at LA County's own hospitals and clinics (LA General, Harbor-UCLA, Olive View-UCLA, Rancho Los Amigos, and county health centers). Care is free at or below 200% of the federal poverty level. Above 200% there is no income cap, and you pay a set amount on a sliding scale, one amount per month for outpatient and ER care and one amount per inpatient stay. Uninsured, underinsured, and insured patients with high costs can apply. Assets are not counted. You can apply in person or by phone, and you can apply for past bills with no time limit. The approval lasts one year. People who live outside LA County can use the Discount Payment Program (up to 400% of poverty level).

Income levels in the program are free up to 200% of poverty level.

Applies to LA County Department of Health Services facilities only; LA County residents (out-of-county patients use the Discount Payment Program). It does not apply to for-profit hospitals.

How to apply. Call 844-804-0055, option 6, or visit a Patient Financial Services office at any LA County Health Services location.

> It is no cost (free) for patients with income at or under 200% Federal Poverty Level (FPL) and a reduced cost, sliding scale for those

Source https://dhs.lacounty.gov/patient-information/get-coverage/financial-services/, checked 2026-11-10

## Sources

No source yet beyond the federal rule. The hospital's own policy is the final word.

Not checked yet.

HTML page https://hospitalaid.org/health-centers/county-of-santa-clara-ca/
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