Under a new plan offered by the City and County, those individuals who work more than 25 hours a month for at least two months and live or work in San Francisco become eligible for health insurance through the San Francisco Health Plan . This means that some covered members may not reside in San Francisco but they will be eligible for CMHS services.
Individuals pay a low monthly premium, and there are also co-payments for some services.
Through a contract with the San Francisco Health Plan, Community Mental Health Services offers the Mental Health Plan for these individuals. Healthy Workers members have a limited substance abuse counseling benefit. This is a new benefit that will be offered by the San Francisco Mental Health Plan to these members when clinically appropriate. Healthy Workers with a primary diagnosis of substance abuse who do not meet the medical necessity criteria for the San Francisco Mental Health Plan are still eligible for substance counseling. Healthy Workers who require substance abuse counseling should be referred to the Healthy Workers point person at Central Access if the service is not available on-site.