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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND

747 52ND STREET
OAKLAND, CA 94609
http://childrenshospitaloakland.org

License:

General Acute Care Hospital
Total Beds: 223
Emergency Room: Yes
more... Link to Atlas

Contact:

Lena Vigil
(510) 428-3485

OSHPD ID:

106010776

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2015

Download:

Federal Poverty Level for Free Care:

300%

Discount Payment Effective Date:

1/1/2015

Discount Payments

FPL Range: 300%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2007

Download:

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish

Additional Information

Draft policy pending CFO and board approval. This will be amended as soon as approval is confirmed. Thank you

Family Size	100%	150%	200%	250%	300%	350%	400%