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Hospital Details


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General Information
ADVENTIST HEALTH GLENDALE
1509 WILSON TERRACE
GLENDALE, CA  91206
https://www.adventisthealth.org/glendale/
General Acute Care Hospital
Total Beds:  515
Emergency Room:  Yes
more... Link to Atlas
Amy Miller
(503)812-1847
106190323
Fair Pricing Policy Information   Show FPL Chart
10/14/2020
200%
10/14/2020
Discount Payments:

Discount Payment 1

FPL Range: 200%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Worker's Compensation
Other Government Insurance
Other: Al;l payors

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Expenses. Patients not eligible based on income may be eligible for Financial Assistance through an exception-based review if their Allowable Medical Expenses have depleted the family’s income and resources so that they are unable to pay for eligible services. The following two qualifications must both apply: a. Expenses: The patient’s Allowable Medical Expenses must be greater than 50% of the Household Income. b. Resources: The patient’s excess medical expenses (the amount by which Allowable Medical Expenses exceed 50% of the Household Income) must be greater than available Qualifying Assets
Application Form Information
10/8/2020
Salary Received
Interest Received
Pension Received
Language Information
English
Spanish
Vietnamese
Hmong
Tagalog
Korean
Chinese
Armenian
Russian
Other: Japanese, French
Additional Information
level (FPL) equals zero patient liability. Income of 201% of the FPL to 300% of the FPL equals patient liability of 50% of the Amount Generally Billed (AGB). Income of 301% of the FPL to 400% of the FPL equals patient liability of 75% of the Amount Generally Billed (AGB). Income of greater than 400% of the Federal Poverty Level is not covered under the policy. Emergency and Medically Necessary Care - Commercial Insurance or non-Contracted Managed Care plans & High Medical Costs - Income of 0% to 400% of the federal poverty level (FPL) equals the amount that would be allowed by the Amount Generally Billed for the same service LESS the amount paid by the patient's insurer. If the insurer paid an amount equal to or greater than the Amount Generally Billed, patient liability is zero. Non-Emergency and Non-Medically Necessary Care - Income of 0% to 200% of the FPL equals patient liability of 100% of the Amount Generally Billed (AGB). Income of 201% of the FPL to 400% of the FPL equals patient liability of 50% of the Amount Generally Billed (AGB). Non-Emergency and Non-Medically Necessary Care - Commercial Insurance or non-Contracted Managed Care plans & High Medical Costs - Income of 0% to 350% of the federal poverty level (FPL) equals the amount that would be allowed by the Amount Generally Billed for the same service LESS the amount paid by the patient's insurer. If the insurer paid an amount equal to or greater than the Amount Generally Billed, patient liability is zero.

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