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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE

393 S. TUSTIN STREET
ORANGE, CA 92866
http://healthbridgeorange.com

License:

General Acute Care Hospital
Total Beds: 27
Emergency Room: Yes
more... Link to Atlas

Contact:

Thuy Nguyen
(714) 464-1860

OSHPD ID:

106304159

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2007

Download:

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

1/1/2007

Discount Payments

FPL Range: 100%-350%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
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:

12/19/2007

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: All income addressed in the application

Language Information

Available Languages:

English
Spanish
Vietnamese

Additional Information

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