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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS

443 SOUTH SOTO STREET
LOS ANGELES, CA 90033
http://promiseeastla.com

License:

General Acute Care Hospital
Total Beds: 36
Emergency Room: Yes
more... Link to Atlas

Contact:

Michael Kerr
(562) 408-7401

OSHPD ID:

106190468

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

4/16/2008

Download:

Federal Poverty Level for Free Care:

350%

Discount Payment Effective Date:

4/16/2008

Discount Payments

FPL Range: 351%-400%
Payment Basis:
Other: Patient liability is discounted by 75%

FPL Range: 401%-450%
Payment Basis:
Other: Patient liability is discounted by 50%

FPL Range: 451%-500%
Payment Basis:
Other: Patient liability is discounted by 25%

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

4/16/2008

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

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