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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

SOUTHWEST HEALTHCARE SYSTEM-WILDOMAR
36485 INLAND VALLEY
WILDOMAR, CA 92595
http://www.swhcs.com

License:

General Acute Care Hospital
Total Beds: 132
Emergency Room: Yes
more...

Contact:

CEO
(951) 696-6000

OSHPD ID:

106334001

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 2/28/2011

Download: Policy File

Federal Poverty Level for Free Care: 350%

Discount Payment Effective Date: 2/28/2011

Discount Payment 1
Federal Poverty Level Range: 350%-350%
Payment Basis:
Medicare Medi-Cal Healthy Families
Discount Payment 2
Federal Poverty Level Range: 0%-0%
Payment Basis:

Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:

Other Charity Care Discount Payment Information:

Patients with familial income levels that are at or below 350% of the FPL guidelines may be eligible to receive either charity care or discounted payments based upon an evaluation of the patient's cirmcumstances by hospital management. See policy for additional information.

Application Form Information

Application Form Eff Date: 1/30/2008

Download: Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Child Support, Other Supplemental Income

Language Information

Available Languages:

English
Spanish

Additional Information

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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