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Hospital Details
Policy Effective Date (Date Posted):
Most Recent (5/5/2015)
Download:
Policy File
Download:
Application File
General Information
Hospital:
FAIRMONT HOSPITAL
15400 FOOTHILL BOULEVARD
SAN LEANDRO
,
CA
94578
http://www.acmedctr.org
License:
General Acute Care Hospital
Total Beds:
159
Emergency Room:
Yes
more...
Contact:
Paula Connors
(510) 437-4721
OSHPD ID:
106010811
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/1/2000
Download:
Policy File
Federal Poverty Level for Free Care:
200
%
Discount Payment Effective Date:
12/1/2002
Discount Payments:
Discount Payment
1
FPL Range:
201
%-
350
%
Payment Basis:
Other: 60% discount on billed charges
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
3/1/2008
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: State Disability, UIB
Language Information
Available Languages:
English
Spanish
Vietnamese
Chinese
Additional Information
The enrollment forms are available in English, Spanish and Chinese. Alameda County Medical Center has had both a Charity and Discount Policy for years. The Charity Policy was put into effect 12/1/2000 but I am not sure of the date the Discount Policy was put in effect, but I know it has been at least five years. The attached policy covers both the Charity and Discount policies.
This page was last updated on Wednesday, October 26, 2016.