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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

NORTHRIDGE HOSPITAL MEDICAL CENTER
18300 ROSCOE BOULEVARD
NORTHRIDGE, CA 91328
http://www.northridgehospital.org

License:

General Acute Care Hospital
Total Beds: 411
Emergency Room: Yes
more...

Contact:

Business Office
(818) 885-5368

OSHPD ID:

106190568

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 1/1/2007

Download: Policy File

Federal Poverty Level for Free Care: 200%

Discount Payment Effective Date: 1/1/2007

Discount Payment 1
Federal Poverty Level Range: 201%-350%
Payment Basis:
Medicare Medi-Cal Healthy Families Other Government Insurance
Discount Payment 2
Federal Poverty Level Range: 351%-500%
Payment Basis:
Medicare Medi-Cal Healthy Families Other Government Insurance Other: 135% of average gov't rates above
Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:

Other Charity Care Discount Payment Information:

Patients whose income exceeds 500% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the CHW Facility.

Application Form Information

Application Form Eff Date: 5/31/2007

Download: Application File

Income Type Used:

Salary Received
Interest Received
Other: Business or Rental Income

Language Information

Available Languages:

English
Spanish
Vietnamese
Korean
Chinese
Armenian
Russian
Other: Farsi and Khmer

Additional Information

The attached word document contains two policies: Patient Payment Assistance Policy and Eligibility & Application Policy and Procedures for Payment Assistance. The Patient Payment Assistance Policy outlines the discounts for both 100% Charity Care and other payment discounts. The Eligibility and Application policy contains the eligibility and review procedures.

Note: To view downloaded .pdf files you will need to install the free Adobe Acrobat Reader. To download the program, please click the image below.

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