HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SENECA DISTRICT HOSPITAL

130 BRENTWOOD DRIVE
CHESTER, CA 96020
http://www.senecahospital.org

License:

General Acute Care Hospital
Total Beds: 26
Emergency Room: Yes
more... Link to Atlas

Contact:

Linda Wagner
(530) 258-4396

OSHPD ID:

106321016

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

10/29/2015

Download:

Federal Poverty Level for Free Care:

150%

Discount Payment Effective Date:

10/29/2015

Discount Payments

FPL Range: 150%-250%
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:

10/29/2015

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Monetary assets excluding primary residence

Language Information

Available Languages:

English
Spanish
Other: Application is available in Spanish

Additional Information

updated policy and application

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