ACE Coverage Program
The San Mateo County Access to Care for Everyone (ACE) Program is a health coverage option available at the San Mateo Medical Center main campus and clinics, and Ravenswood Family Health Center. ACE is not an insurance program. It provides a set of health benefits for uninsured adult residents of San Mateo County, age 19 and older, with low income. ACE participants are covered for inpatient hospital services only at San Mateo Medical Center (SMMC).
ACE Covered Services & Co-Pays
|Emergency Room Visit||$40|
|Clinic or Office Visit||$10/$20|
|Dental Visit for relief of pain only||$10/$20|
|Chronic Disease Management visit for diabetes, hypertension, asthma, coumadin||$5|
|Infusion Center Visit||$10|
|Home Care Visit||$10|
|Rehabilitation monthly visit||$10|
|Orthotics, Glasses, or Outside||$10|
|DME Supplies Radiology||$25|
|Radiology (CT & Nuclear Medicine, Ultra-Sound, Echo||$50|
|Outpatient Ancillary Procedures||$150|
|Same Day Surgery||$300|
Services Not Covered by ACE
The ACE program does not cover cosmetic surgery, bariatric surgery, transplants, pregnancy-related services, family planning, impotence/infertility, non-medically necessary services, mental health services, emergency medical transport, emergency care and treatment at other facilities, unauthorized care or services received at other faculties, long-term care for more than 30 days, experimental or investigational treatments or therapies, non-emergent dental, gender reassignment surgery and related hormonal treatment, external second opinions and certain prescriptions such as vitamins, some pain medications and tranquilizers, etc. Some scheduled admissions and day surgeries must be pre-authorized for medical necessity.
What is the Cost for ACE Coverage?
Annual Enrollment Fee: $240
ACE participants pay an individual annual enrollment fee of $240 that is billed by the Health Plan of San Mateo. This fee is payable in monthly installments on request and is non-refundable
Information on required co-payments is in the Covered Services and Co-Pays tab above.