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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

WEST COVINA MEDICAL CENTER

725 SOUTH ORANGE AVENUE
WEST COVINA, CA 91790
http://no.website.available

License:

General Acute Care Hospital
Total Beds: 46
Emergency Room: Yes
more... Link to Atlas

Contact:

Gerald Wallman
(626) 338-8481

OSHPD ID:

106190857

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2007

Download:

Federal Poverty Level for Free Care:

Discount Payment Effective Date:

1/1/2007

Discount Payments

FPL Range: 0%-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:

1/1/2007

Download:

Income Type Used:

Language Information

Available Languages:

English
Spanish
Tagalog
Korean
Chinese
Other: Farsi

Additional Information

All cash patients are offer the medicare rate or less.

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