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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

VIBRA HOSPITAL OF SACRAMENTO

330 MONTROSE DRIVE
FOLSOM, CA 95630
http://www.kindredsacramento.com

License:

General Acute Care Hospital
Total Beds: 58
Emergency Room: Yes
more... Link to Atlas

Contact:

Janet Biedron
(916) 351-8846

OSHPD ID:

106344035

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/7/2008

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

1/7/2008

Discount Payments

FPL Range: 201%-350%
Payment Basis:
Medi-Cal
Other: 75% disc. to charges where MCD rates undetermined

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/7/2008

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Additional Information

Self-Pay patients may be eligible for a 25% prompt payment discount if the entire bill is paid immediately.

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