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Details
Hospital Details
Policy Effective Date (Date Posted):
Most Recent (7/31/2012)
General Information
Hospital:
UCSD-La Jolla, John M/Sally B Thornton Hosp & Sulpizo Cardiovascular Center
9300 CAMPUS POINT DRIVE
LA JOLLA
,
CA
92037
http://health.ucsd.edu/
License:
General Acute Care Hospital
Total Beds:
173
Emergency Room:
Yes
more...
Contact:
Christina Diaz
(619) 543-3689
OSHPD ID:
106374141
Fair Pricing Policy Information
Click for FPL Chart
Policy Effective Date:
3/4/2009
Download:
Policy File
Federal Poverty Level for Free Care:
200
%
Discount Payment Effective Date:
3/4/2009
Discount Payment
1
Federal Poverty Level Range:
201
%-
350
%
Payment Basis:
Medicare
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:
In addition to FPL and other relevant financial information, clinical information provided by the Physician is also evlauted in making charity care determinations which are ultimately approved or denied by either the Physician-in-Chief and/or the Physician Advisor for ALL cases submitted Prior to or Concurrent with care being provided. Charity Care requested subsequent to care is reviewed and approved based on FPL and other related financial information.
Application Form Information
Application Form Eff Date:
3/4/2009
Download:
Application File
Income Type Used:
Salary Received
Other: Tax returns, Cash, Other Liquid Assets
Language Information
Available Languages:
English
Spanish
Additional Information
The Patient Financial Policy includes the processes by which a patient presenting without coverage or insufficient coverage is handled and thereby encompasses how Charity Care is determined.
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.
