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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2014-2015 (1/27/2015)
2012-2013 (4/26/2012)
2010-2011 (5/18/2011)
2010-2011 (5/18/2011)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE
393 S. TUSTIN STREET
ORANGE, CA 92866
http://healthbridgecc.com
License:
General Acute Care Hospital
View License Information...
Contact:
Thuy Nguyen
(714) 289-2400 ext. 1860
OSHPD ID:
106304159
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
4/1/2022
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
4/1/2022
Discount Payments
Discount Payment
1
FPL Range:
100
%-
350
%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
4/1/2022
Download:
Application File
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%