Key Takeaways
- The PG&E Medical Baseline Program provides extra baseline energy allowance to help customers who need air conditioning or medical devices maintain safe indoor temperatures and reliable power. Enrollment adds protections during outages and PSPS events.
- Qualified customers must have a medical need verified by practitioner certification and residency, with permanent and temporary conditions accepted. The program is based on medical necessity, not income.
- The cooling allotment adds kilowatt-hours at the lowest rate tier to protect you from possible higher-tier charges for vital cooling. Verify the medical baseline kilowatt-hours added on your monthly bill.
- Register online, by mail, or phone with the official PG&E certification form, featuring patient and practitioner signatures. Save confirmation numbers and monitor application status via your PG&E account.
- Stay on top of recertification, keep an eye on your monthly bills and usage to ensure you don’t go over your allowance, and use PG&E tool information, off-peak scheduling, and efficiency programs to control costs and energy use.
- Get outage safety plans in place. Maintain updated emergency contact information, register required accessibility features, and plan for backup power or alternatives to life-supporting devices during PSPS.
PG&E medical baseline program for AC users provides extra electricity at a lower rate for customers with approved medical needs who rely on air conditioning. Eligible residential customers receive increased baseline allowances and bill credits to help offset cooling usage during hot months. You have to have a licensed medical or public health professional form and PG&E approves. This initiative seeks to minimize heat-induced health hazards and decrease monthly energy expenses for at-risk customers.
Program Overview
PG&E’s Medical Baseline Program assists customers with confirmed medical requirements, including those who rely on air conditioning due to health conditions. This program provides a higher medical baseline allotment to account for additional electric consumption associated with life-support devices and other medical equipment. By enrolling in this program, eligible PG&E-served California residents gain extra safeguards during public safety power shutoff (PSPS) events, ensuring their health needs are met.
Core Purpose
The fundamental intent is to help medically vulnerable customers maintain dependable electricity for life-sustaining and medical-harm-preventing cooling devices. That purpose translates into two linked goals: reduce the risk of health crises caused by loss of power or extreme heat and limit the financial strain from higher energy use.
This program reduces rates by boosting the baseline allowance so that essential consumption doesn’t push homes into expensive tiers or TOU pricing. This applies to families who have oxygen concentrators, refrigerated medicines, or MS that needs to be kept cool all the time.
PG&E prioritizes medical baseline customers during PSPS events and extreme heat, including providing advanced notifications and other efforts to minimize health risks. The program is equity-focused, providing dependable energy for all eligible households, regardless of income, language, or mobility.
Cooling Allotment
- Additional baseline kWh for cooling reduces the risk of tiers.
- Makes air conditioning accessible during heat waves and for heat sensitive illnesses.
- Eases the burden for families who need to keep the air conditioner running non-stop.
- Could be a lifesaver for thermally sensitive or heat-related patients.
Verify your monthly bill for the new medical baseline kWh in the baseline allowance, which is crucial for households relying on medical devices for life support. The extra allocation appears as part of the baseline lines and reduces the kWh subject to higher rates, helping those enrolled in the medical baseline program avoid significant tiered fees in summer.
Rate Relief
The additional baseline allowance provides a significant benefit for customers, offering a public safety power shutoff relief by charging more of their load at lower TOU or tier rates, even when medical equipment or AC lift demand is high. This rate relief is especially beneficial for families relying on life support devices, as it kicks in when greater consumption would otherwise push the electric home into a pricier billing tier. To understand the savings, it’s advisable to contrast bills pre and post enrollment. If you’re a family with chronic medical needs, you’ll be pleased to see how much these monthly bills decrease after enrollment.
You must have a permanent qualifying condition certified by a licensed physician, Doctor of Osteopathy, PA, or Nurse Practitioner. Applications signed by the practitioner need to be received within 90 days of signing and require approximately 5 to 7 business days to process, with re-certification every 1 to 4 years depending on the condition. Users may sign up online, email, or mail in a form and confirm enrollment by two methods available.
Medical Qualification
Medical qualification identifies who is eligible for the Medical Baseline Allowance and describes the necessary documentation for those relying on life support or other medical devices. It’s for customers whose health depends on certain electrical or temperature-control equipment, emphasizing medical necessity rather than income. Applicants should collect medical records, device specs, and residency documents prior to applying for the medical baseline program. Certification from an accepted practitioner is necessary and should be sent within program deadlines.
1. Thermal Sensitivity
Thermal sensitivity refers to a person’s health status declining when exposed to excessive heat or cold. Think of diseases like multiple sclerosis, critical care burn recovery, autonomic dysfunction or any other heat or cold induced symptom flares. A doctor needs to write why you need air conditioning or heat, identify the unit and how frequently it operates. Create a short list for the application: multiple sclerosis, severe burns, autonomic neuropathy, heat stroke risk conditions, and similar diagnoses.
2. Respiratory Illness
Chronic respiratory diseases like COPD, moderate-to-severe asthma, cystic fibrosis, and sleep apnea could qualify for the medical baseline program. Twenty-four/seven devices, such as oxygen concentrators, home ventilators, or CPAP machines that demand consistent power bolster the argument for public safety power shutoff. Candidates should record the device model, average wattage draw, and whether it runs continuously or roams. Add all household members with a qualifying respiratory device to ensure you have their needs covered on the account.
3. Neurological Conditions
Some neurological disorders need electrically powered devices or rigorous temperature control and can qualify for the medical baseline program. For instance, ALS, end-stage muscular dystrophy, and intractable epilepsy requiring cooling or life-support devices. Add diagnosis information, device names and models, and how device failure could impact health. Maintaining an easy table that matches conditions with necessary electric home equipment simplifies renewals and emergency preparations.
| Condition | Necessary Equipment |
|---|---|
| ALS | Ventilator |
| Muscular Dystrophy | Powered mobility and cooling |
4. Practitioner Certification
Certification must come from a licensed practitioner: physician (MD), Doctor of Osteopathy (DO), physician assistant (PA), or nurse practitioner (NP). It is at the discretion of the doctor to declare that it’s a qualifying condition for the medical baseline program, and many have to specify if it’s permanent. Utilize PG&E’s certification form or attach comparable signed documentation. Applications typically must be submitted within a specified time period, often 90 days of the provider’s signature. The processing time is usually five to seven business days, especially for those needing life support devices. Certifications generally expire every one to four years, for which you should prepare new ones.
5. Household Proof
Residency verification must display the service address where the medical device is used. You can use recent utility bills, your lease, or official mail. The name and address should match the PG&E account for the medical baseline program. If not, include a note explaining and extra evidence. Act quickly to update your household information after a move to maintain your qualification for the medical baseline allotment.
Enrollment Steps
The medical baseline program provides a lower electricity price for qualified customers, particularly those reliant on medical devices for life support, requiring careful enrollment with a qualified physician.
- Fill out the medical baseline application and have it certified by a doctor. A qualified practitioner can be a licensed physician, MD, DO, PA, or NP. The practitioner needs to sign and date the form. You have to apply within 90 days of that signature.
- Choose an application method: online, mail-in, or phone/email submission. Online is quickest, mail works when you want a physical signature or want records mailed, and email is a nice compromise when it is easiest to scan or photograph the signed form. Mail to the special PG&E address or email to this customer service email. Phone assistance can guide applicants through next steps but will still need the signed medical certification.
- Gather supporting documents: valid photo ID, proof of address, the completed and signed medical certification, and any supporting medical records that clarify the permanency and nature of the condition. Upload crisp, clear scans or photos for online applications. Examples include a recent clinic letter confirming chronic respiratory impairment or a specialist note for a neuromuscular disorder.
- Check the form for completeness. Verify patient and practitioner signatures exist, dates are readable and all required information is complete. This includes name, account number, address, and practitioner license number. Incomplete forms will slow processing and could necessitate re-submission.
- Submit and keep proof. For online submissions, save the confirmation number and receipt. For forms sent by mail, use tracked mail and hold onto the tracking number. For emailed submissions, save the sent message and server receipt. Processing normally requires 5 to 7 business days and you should retain confirmation for tracking.
- Anticipate certification of 1 to 4 years, depending on the condition. Recertification might be needed once every 1 to 2 years for others. Mark recertification deadlines on a calendar and monitor for PG&E notices. Missed recertification can disrupt benefits.
Online Submission
Visit PG&E’s website to enroll through the medical baseline digital enrollment form, which is essential for those using medical devices that require consistent power, such as life support. The form requests customer name, account number, address, practitioner information, and signature dates. Upload the medical certificate, proof of address, and any supporting documents. Online filing is generally faster and provides you with an instant confirmation number, so be sure to keep that number.
Status Tracking
Verify your application status for the medical baseline program through the PG&E account portal or by contacting customer service. You can view updates and information requests related to your medical baseline allotment through the portal. Additionally, track email and postal letters for acceptance letters or follow-up requests regarding the public safety power shutoff.
Recertification Schedules
Recertify as per PG&E’s notice, which depends on condition and can be anywhere from once per year to once every four years. To avoid service disruption, particularly for those reliant on life support medical devices, send updated medical certification by the deadline and maintain your own calendar of recertification dates and alerts.
Billing Realities
The medical baseline allowance offsets higher-tiered energy billed by supplementing the lowest tier with a flat kWh allotment for qualified customers. On the monthly PG&E bill, the allowance shows a separate line item or notation near the usage or rate summary, usually “Medical Baseline Allowance” or “MBL.” This line displays the additional kWh applied to the least expensive tier, reducing billed consumption in the higher tiers proportionately. Verify the allowance was applied by looking at the summary totals section where total kWh, tiered breakdown, and charges are displayed.
If the allowance is present, it deducts a corresponding amount of your recorded kWh into the lowest tier rate before tiered rates are calculated. For instance, if standard tier thresholds would place 400 kWh partially into higher tiers, an added medical baseline allotment might shift 150 kWh into the lowest tier, thereby reducing the kWh that incurs middle or top tier rates. Each month, verify that the medical baseline credit aligns with your expectations. If it doesn’t appear, contact PG&E immediately. Timely reporting of discrepancies is crucial to avoid incurring higher charges.
Applications need to be filed within 90 days of the doctor’s signature. Qualified providers are MDs, DOs, PAs, and NPs. Processing is generally 5 to 7 business days following submission. Recertification is required and frequency varies by condition and utility guidelines, generally occurring anywhere from one to four years. Completed forms may be mailed to P.O. Box 8329, Stockton, CA 95208, or emailed to MBLApplications@pge.com. Check enrollment through PG&E’s online account portal or by calling customer service. Both show that the status is active.
Tier Calculations
| Item | Standard Tier Thresholds (kWh) | With Medical Baseline (kWh) |
|---|---|---|
| Tier 1 (lowest rate) | 0–130 | 0–(130 + MBL allotment) |
| Tier 2 | 131–400 | 131–400 (shifted) |
| Tier 3 | 401+ | 401+ (after MBL shift) |
| Example | Standard Tier 1 | With 150 kWh MBL |
|---|---|---|
| Household use | 450 kWh | 450 kWh |
| Billed at Tier 1 | 130 kWh | 280 kWh |
| Billed at higher tiers | 320 kWh | 170 kWh |
Capture daily usage to maximize the power of the enlarged medical baseline allotment. Employ basic logs or apps and schedule heavier loads in off-peak hours to maintain public safety power shutoff readiness. Surpassing the enhanced baseline still shifts you into more expensive tiers, so optimized usage counts.
Usage Spikes
Overage energy consumption above the medical baseline allocation is charged at tier rates and can rapidly increase monthly bills. Track AC cycles and high-draw devices throughout heat waves or PSPS when consumption frequently spikes.
PG&E’s online utilities display daily and hourly usage. Use them to detect patterns and peak periods. Use usage alerts in your account to warn when you approach the baseline so you can trim nonessential loads.
Strategic Optimization
What I mean by strategic optimization here is optimizing the way a household uses electricity to achieve medical baseline needs for A/C while reducing cost and maintaining comfort. It starts with clear goals: maintain safe indoor temperatures for medical reasons, lower bills under PG&E’s time-of-use (TOU) structure, and use available programs and rebates like the medical tariff. It has you provide a menu of choices, tradeoff risks and rewards, and select a strategy that suits your household, financial, and treatment preferences.
Be smart with your energy – checklist of strategies for optimizing. The checklist should include: confirm medical baseline eligibility and documentation; map typical daily loads and AC run times in metric terms where useful (for example, note daily kilowatt-hours used by AC); record current TOU peak and off-peak hours; identify rooms that need priority cooling; set thermostat bands that balance comfort and savings; note dates for PG&E rebate or efficiency program deadlines. It’s a decision tool list to compare alternatives, evaluate heat event risk, and monitor progress toward reduced consumption and stable comfort.
Schedule high usage activities during off-peak TOU periods if you can. Move heat-generating activities, such as laundry, dishwashing or cooking, to off-peak hours so the AC doesn’t work harder during peak pricing. For instance, run a clothes washer in the evening when TOU rates drop and cool some of the AC with a cooling cycle before peak so the house stays cool through the more expensive window. If a vital medical device needs to run during peak hours, incorporate its consistent kWh into your strategy and seek other loads to relocate.
Suggest developing a home energy wise use plan or checklist. Assign roles: who adjusts thermostats, who watches energy use, and who applies for rebates. Set simple rules: maintain the primary room thermostat at a medically safe set point, close doors to unused rooms, use fans to support air conditioning, and keep blinds closed during midday. Track daily energy readings for a week to identify patterns and adjust schedules. Treat the plan as iterative: test changes two weeks at a time, measure kilowatt-hours and cost differences, then refine.
Advise exploring PG&E programs for additional efficiency rebates or support. Check for AC efficiency rebates, insulation or duct sealing offers, and home energy assessment vouchers. These programs can lower upfront costs and change your set of viable alternatives. Evaluate options against goals, strengths, and limits. The long-term aim is a sustainable plan that reduces cost and keeps health priorities met.
Safety Safeguards
Safety safeguards shield people with medical conditions from injury during routine and emergency service. Among these are safety safeguards, such as the Medical Baseline Program, which offers additional considerations for electric customers with medical needs. You must be certified by a qualified medical professional that you have a permanent qualifying condition. When registered, customers receive priority service interventions and special alerts that mitigate health hazards associated with public safety power shutoff events.

Medical Baseline customers benefit from early warning before PSPS and planned outages. PG&E notifies them by phone, text, email, or mail depending on the contact information they have, allowing time to shift gear, schedule backups, or evacuate. For individuals requiring advanced notice, these warnings can be critical to prevent interruptions to life support devices, such as ventilators and oxygen concentrators, or refrigerated medications. Remember, notice timing is event-dependent, so trust the alert and fallback strategy, not an assumed window.
Sign up for additional contact options if you are a relay user or have hearing or speech requirements. California Relay Service and other services allow two-way communication with PG&E and to receive outage notices. If you use a different contact method, update that to your PG&E account and check it often. This minimizes missed notifications and assists in making sure messages get to caregivers, family, or third-party agents who support during an outage.
Have a backup plan for medical devices during outages. Pinpoint battery-backed or manual options, stock portable battery packs sized to run equipment through anticipated outages and locate powered shelters or hospitals in your area. Check backup batteries and maintain spare charged ones. Don’t forget a written checklist with device power requirements in watts and amp-hours so responders can pair equipment rapidly. For instance, a miniature oxygen concentrator may demand between 300 and 600 watts, and a backup battery should be rated with a safety margin accordingly.
Maintain updated contact details with PG&E to obtain immediate notifications and service updates. Make sure to update phone numbers, emails, and alternate contacts after any change in your household or caregiving situation. Enrollment and updates are verified through PG&E’s online forms, phone, or mailed paperwork. Safety safeguards encompass the preventive steps to avoid accidental electrocution during outages, like clearly identifying medical equipment circuits and training household members on how to safely shut down and restart equipment.
Conclusion
PG&E’s Medical Baseline program reduces monthly fees for customers that require additional electricity to run air conditioning. It provides a transparent additional allowance on the bill and reduces the rate per unit of energy. Most AC users in warm homes qualify for the medical need if a medical practitioner documents the condition and the equipment. The sign-up runs through PG&E or an approved clinic and takes a few weeks. Bills shift when the program begins, so verify meter reads and old bills. Keep safety steps in place: maintain units, check heat alerts, and plan for outages. Ready to apply or need assistance with the forms? All you have to do is collect some medical evidence and current bills, and either call PG&E or a local clinic.
Frequently Asked Questions
What is PG&E’s Medical Baseline program for AC users?
The Medical Baseline program increases the baseline energy allowance for customers with qualifying medical needs, such as those relying on life support or medical devices, who use air conditioning for health purposes.
Who qualifies for the program if I use air conditioning for health reasons?
You qualify for the medical baseline program if a licensed physician verifies that a household member has a serious medical condition in need of AC, especially for those using medical devices like life support.
How do I enroll in the Medical Baseline program?
Apply online at PG&E, mail with medical certification related to medical baseline eligibility, or call PG&E to assist with your medical tariff. Anticipate validation and potential follow-up.
Will enrolling reduce my monthly bill?
Yes. The program increases your baseline allowance, so more consumption is charged at the lower baseline rate. Savings are based on your additional AC use beyond the baseline allowance.
Can landlords enroll on behalf of tenants who need AC?
Tenants have to apply themselves or consent. Landlords can offer landlord verification when requested. Medical certification must demonstrate the qualifying resident’s need.
Does enrollment affect energy-saving incentives or other assistance programs?
No, the medical baseline program can be stacked with most assistance plans. Verify eligibility for other discounts such as CARE, FERA, or local energy-efficiency rebates before applying for the medical baseline allotment.
What safety steps should I take when relying on AC for medical reasons?
Backup cooling plans, such as battery fans and portable coolers, are essential for public safety power shutoff situations. Keep emergency numbers handy, maintain medical devices, and register for PG&E outage alerts to minimize health risks when the lights go out.