HCAI Syfphr

Search > Results > Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

COMMUNITY HOSPITAL LONG BEACH

1720 TERMINO AVENUE
LONG BEACH, CA 90804
http://www.memorialcare.org

License:

General Acute Care Hospital
Total Beds: 158
Emergency Room: Yes
more... Link to Atlas

Contact:

Maribel Madrid
(877) 323-0043

OSHPD ID:

106190475

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/12/2012

Download:

Federal Poverty Level for Free Care:

138%

Discount Payment Effective Date:

1/12/2012

Discount Payments

FPL Range: 139%-350%
Payment Basis:
Medicare

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/12/2012

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog
Korean
Other: Farsi and Khmer

Additional Information

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