Image of a man holding a credit card sitting in front of a laptop computer.

How to Make a Payment

Don't Risk Termination of Your Benefits


  • You need to make healthcare contributions to SFHSS while on an unpaid leave of absence or
  • Are you a retired employee who has to mail a premium payment to SFHSS every month

SFHSS will not be able to collect payment for your health premiums. All members are responsible for all required healthcare contributions, whether or not they are deducted from pay or pension checks. In other words, if SFHSS does not receive your payments directly from payroll or your retirement system, you are responsible for arranging regular payments in a timely manner.

As of April 1, 2020*, San Francisco Health Service System (SFHSS) will no longer process AutoPay transactions (i.e. accept payments directly) to pay for healthcare premiums.

You can make your credit card or electronic check payments directly through CityBase, the City’s new secure online payment system, which allows you to manage your payments at your convenience, 24 hours a day/7 days a week.

SFHSS members are responsible for making their own payments through CityBase.

Get started today!

Set up your CityBase account by going to

If you have not used CityBase before, you will need to create an account before setting up recurring payments. To set up a new account, download CityBase Instructions.


Health Service Rules require termination for accounts that remain past due for more than 30 days. The termination date is retroactive to the first day of the coverage period when premium payment was missed. Upon termination, you are responsible for healthcare service costs incurred after your termination date. You may re-enroll in an SFHSS health plan during the next Open Enrollment period in October 2020 (effective 1/1/21) or when you return to work after an approved Leave of Absence.

Questions? Call us at (415) 554-1750 or visit We’re here to help you.

*Starting April 1, 2020, all credit card payments (one-time and recurring) will include a 2.25% service fee ($2.00 minimum). There are no service fees for payment by electronic check.