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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

HAZEL HAWKINS MEMORIAL HOSPITAL

911 SUNSET DRIVE
HOLLISTER, CA 95023
http://www.hazelhawkins.com

License:

General Acute Care Hospital
Total Beds: 82
Emergency Room: Yes
more... Link to Atlas

Contact:

BUSINESS OFFICE
(831) 636-2620

OSHPD ID:

106350784

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2007

Download:

Policy File

Federal Poverty Level for Free Care:

300%

Discount Payment Effective Date:

1/1/2007

Discount Payments

Discount Payment 1

FPL Range: 301%-400%
Payment Basis:
Medicare
Medi-Cal

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

This facility offers a prompt payment discount to patients with familial incomes that are greater than 400% of the FPL (see discount policy for more information).

Application Form Information

Application Form Eff Date:

1/4/2008

Download:

Application File

Income Type Used:

Salary Received
Pension Received
Other: INCOME TAX RETURN

Language Information

Available Languages:

English
Spanish

Additional Information

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