Health Insurance Coverage

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Under the Affordable Care Act, all U.S. born and naturalized citizens, as well as all immigrants who are legally residing in the U.S. and who are required to file annual personal income taxes, must carry valid health insurance or face a tax penalty.

You may be eligible for MAGI Medi-Cal, the Advanced Premium Tax Credit or other additional cost-sharing subsidies that help with paying for your co-payments and deductibles if you choose to enroll in health coverage through Covered California. To learn more or to apply on your own, visit or contact the San Mateo County Health Coverage Unit. If you are/will be a BHRS client, schedule a free health coverage screening appointment for assistance.

If you are seeking County mental health or substance use services, you must have valid, billable health coverage, or be willing to apply for or adjust your current coverage.

Below is information about available coverage options to give you an idea of what you may qualify for, what is covered, how to apply and how to get help. If you are interested in applying for health coverage, please schedule a free Health Coverage Screening appointment.

Primary Public Health Insurance/Coverage Programs

  • Regular Medi-Cal (mostly disability-linked)
  • MAGI Medi-Cal
  • Targeted Low Income Children's Program (TLICP)
  • Medicare
  • ACE (Access to Coverage for Everyone)
  • Healthy Kids

Free Health Coverage Screening and Application Assistance

Each individuals' situation is unique. That's why Behavioral Health and Recovery Services offers FREE assistance to help you apply for and obtain coverage. We can help determine which program you may qualify for, explain how it works, what it costs and covers, and help you apply. We're here to assist you through the entire application process.

Understanding the Implementation of the Mental Health Parity and Addiction Equity Act of 2008

Note: Legal immigration status is not required to access free or low cost health insurance in San Mateo County. If you have private insurance that does not cover mental health or substance use disorder treatment services required for the level of treatment you seek, then you may still qualify for a supplemental public health coverage program. Individuals who do not qualify for coverage may still be eligible for services through other resources based on the severity of their diagnosed impairment(s).