CCHP Individual and Family Plan

If you're self-employed, or if you do not receive health care benefits from your employer. CCHP has a plan for you and your family. To apply for CCHP's Individual and Family Plan, you must live or work in San Francisco and Northern San Mateo Counties.

$25 Copayment Plan
Our copayment plan feature set payments (or copayment) for certain covered services, so you'll always know in advance what your out-of-pocket costs for prescriptions and doctor visits will be.

To learn more, review the following:

• About CCHP
• CCHP Physicians and Hospitals
• Health Education Services
• List of Covered Drugs (Formulary) (English and Chinese) (PDF)*
• Pharmacy Directory (English and Chinese) (PDF)*
• Provider Directory (English and Chinese) (PDF)*
• Application for Enrollment (English and Chinese) (PDF)*
• Enrollment Guidelines (English and Chinese) (PDF)*
• $25 Copayment Plan Summary of Benefits (English and Chinese) (PDF)*
• $25 Copayment Plan Rate Sheet (English) (PDF)*
• HIPAA GI Plan Benefit Matrix (PDF)*
• HIPAA GI Plan Enrollment Application (PDF)*
• HIPAA GI Plan & Conversion Plan San Francisco Rates (PDF)*
• HIPAA GI Plan & Conversion Plan San Mateo Rates (PDF)*
• Conversion Plan Benefit Matrix (PDF)*
• Conversion Plan Enrollment Application (PDF)*

Request Information

For additional information, call 415-955-8800, toll-free at 1-888-681-3888 or request information online. TTY 1-877-681-8898 for hearing impaired, Monday thru Friday, 8:30 a.m. - 5:00 p.m.

*Note: To view these documents, you'll need Adobe Acrobat, which you can download here.