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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SOUTHWEST HEALTHCARE SYSTEM-WILDOMAR

36485 INLAND VALLEY
WILDOMAR, CA 92595
http://www.swhcs.com

License:

General Acute Care Hospital
Total Beds: 130
Emergency Room: Yes
more... Link to Atlas

Contact:

Francine Haro
(951) 696-6102

OSHPD ID:

106334001

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

2/28/2011

Download:

Policy File

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

2/28/2011

Discount Payments

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Patients with familial incomes levels that are at or below 400% of the FPL guidelines may be eligible to receive either charity care or discounted payments based on an evaluation of the patient’s circumstances by hospital management. See policy for additional information.

Application Form Information

Application Form Eff Date:

1/30/2008

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Child Support, Other Supplemental Income

Language Information

Available Languages:

English
Spanish

Additional Information

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