HCAI Syfphr

Search > Results > Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

ORANGE COUNTY GLOBAL MEDICAL CENTER

1001 NORTH TUSTIN AVENUE
SANTA ANA, CA 92705
http://www.westernmedicalcenter.com

License:

General Acute Care Hospital
Total Beds: 282
Emergency Room: Yes
more... Link to Atlas

Contact:

Shela Kaneshiro
(714) 953-3610

OSHPD ID:

106301566

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

2/1/2015

Download:

Federal Poverty Level for Free Care:

199%

Discount Payment Effective Date:

2/1/2015

Discount Payments

FPL Range: 200%-350%
Payment Basis:
Medicare
Medi-Cal
Other Government Insurance

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

2/1/2015

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: consideration given to declared income

Language Information

Available Languages:

English
Spanish

Additional Information

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