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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

VICTOR VALLEY GLOBAL MEDICAL CENTER

15248 ELEVENTH STREET
VICTORVILLE, CA 92395
http://www.vvgmc.org

License:

General Acute Care Hospital
View License Information... Link to Atlas

Contact:

Ann Marie McFadden
(760) 843-6067

OSHPD ID:

106361370

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

11/1/2009

Download:

Policy File

Federal Poverty Level for Free Care:

300%

Discount Payment Effective Date:

11/1/2009

Discount Payments

Discount Payment 1

FPL Range: 301%-350%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

Discount Payment 2

FPL Range: 351%-400%
Payment Basis:
Other: 120% of lowest government rate

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

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Application Form Information

Application Form Eff Date:

1/1/2007

Download:

Application File

Income Type Used:

Salary Received
Other: Income Tax return

Language Information

Available Languages:

English
Spanish

Additional Information

Discount 1 - FPL 0-300% = 100% adjustment; Discount 2 - over 301-350% = Medicare / selected rates; Discount 3 351%-400% of FPL 120% of the lesser of Medicare/selected rates

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