OSHPD - SyFPHR

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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

GLENN MEDICAL CENTER
1133 WEST SYCAMORE STREET
WILLOWS, CA 95988
http://glennmed.org

License:

General Acute Care Hospital
Total Beds: 47
Emergency Room: Yes
more...

Contact:

Business Office
(530) 934-1996

OSHPD ID:

106110889

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

5/1/2005

Download:

Policy File

Federal Poverty Level for Free Care:

300%

Discount Payment Effective Date:

5/1/2005

Discount Payments:

Discount Payment 1

FPL Range: 300%-400%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 400%-500%
Payment Basis:
Other: Avg HMO/PPO rate or 150% of Medicare rate

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Patients with familial incomes greater than 500% of the FPL may be eligible for to receive discounted rates on a case-by-case basisbased upon specific circumstances. See policy for additional information.

Application Form Information

Application Form Eff Date:

5/1/2005

Download:

Application File

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish

Additional Information

This page was last updated on Wednesday, October 26, 2016.