Apply Now

Visit our portal page to begin your application today! It includes some easy to follow questions and the opportunity to submit your documents.

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Appeals Process

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  1. The County will issue a decision within thirty (30) calendar days of receiving a patient’s completed MedAssist Program Application.
  2. A patient who is denied may appeal the denial in writing. An appeal must contain the basis for the appeal and the requested relief. Appeal forms are available online or by contacting the MedAssist Team.
  3. Appeals must be received at the address below within thirty (30) calendar days of the denial:

    County of Santa Clara Health System Patient Business Services
    2325 Enborg Lane, Suite 440
    San Jose, CA 95128
    Attention: Revenue Cycle Director
  4. The Revenue Cycle Director will decide all initial appeals within thirty (30) calendar days.
  5. If the Revenue Cycle Director affirms the initial denial, a patient may submit a second written appeal. Any secondary appeal must be received by the County Health System Chief Financial Officer at the address listed below within thirty (30) calendar days of the initial appeal denial:

    County of Santa Clara Health System Finance Department
    2325 Enborg Lane, Suite 360
    San Jose, CA 95128
    Attention: Chief Financial Officer
  6. The Chief Financial Officer will decide all secondary appeals within thirty (30) calendar days.
  7. The decision on any second appeal will be final.


We're Here to Help You Every Step of the Way!

Don’t let some simple paperwork get in your way of getting money back. In person application assistance is available.

Reach out to us
Please call (408) 970-2001 to make an appointment. We are open Monday - Friday, 9:00am - 5:00pm.
Our office address is:
Santa Clara Valley Health
777 Turner Dr
San Jose, CA 95128


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Learn More About MedAssist

Ready to learn more about how our money back program can benefit you? Dive deeper into the program by exploring our website and discovering all the ways we can help you earn cash back. Don't miss out on this opportunity to save money and protect your health.

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Got questions about MedAssist?
Check out our FAQs for answers to some of the most commonly asked questions.

Get Answers

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We have all the necessary forms ready for you to print. Visit our forms page for everything you need.

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Contact Us

Don't hesitate to visit our contact us page and reach out to our team for assistance.

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