San Mateo County

Access and Care for Everyone (ACE)

San Mateo County Access and Care for Everyone (ACE) is a locally funded health care program for low-income adults who do not qualify for other health insurance. HPSM serves as the third-party administrator. San Mateo County is the service area for the program.

Who is eligible

Adults age 19 and above who are not eligible for other state and federal insurance programs are eligible for ACE.

What is covered

  • Doctor visits
  • Hospital visits
  • Prescription drugs
  • Eye care
  • Preventive care – including check-ups, screenings, tests, immunizations and other office visits with a primary care doctor

For more coverage information, see the San Mateo County ACE Participant Handbook.


Annual Participant Fee

To join ACE, participants must pay a $360 application fee. Most participants then pay an annual participant fee of $360 for 12 months of health coverage. Members can either pay it once a year in full or in monthly payments of $30.


There is a $15 co-pay for most services. Some services have much higher co-pays.

The participant fee and co-pays can be waived if you don’t earn enough money. Learn more


There are two ways you can apply

  1. Call the Health Coverage Unit at 650-616-2002 to speak with a Certified Application Assistor
  2. Contact a Community Health Advocate at any of the San Mateo Medical Center Clinics or Ravenswood Family Health Center