Depending on your household size and income, you may be required to pay a Healthy San Francisco participant fee four times per year if you are eligible for and enroll in the program. Participant fees are based on family income level. The funds your Employer makes on your behalf may be applied towards a discount on your Healthy San Francisco quarterly participant fees.  In addition to the participant fees, you may pay a Point of Service Fee when you receive health care services. For example, an additional fee may be paid each time you visit a physician or emergency room, or pick up a prescription.  The amount of the Point of Service Fee depends on your Medical Home and family income.