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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER

375 LAGUNA HONDA BOULEVARD
SAN FRANCISCO, CA 94116
https://lagunahonda.org/

License:

General Acute Care Hospital
Total Beds: 780
Emergency Room: Yes
more... Link to Atlas

Contact:

Admissions and Eligibility Department
(415)682-5686

OSHPD ID:

106380865

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2015

Download:

Policy File

Federal Poverty Level for Free Care:

138%

Discount Payment Effective Date:

4/1/2014

Discount Payments

Discount Payment 1

FPL Range: 139%-200%
Payment Basis:

Discount Payment 2

FPL Range: 201%-500%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

8/3/2019

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Additional Information

Patient Liab. is based on FPL level and Service Type: Out Patient 0-133% FPL = 0 Pt. Liab. Inpatients who have FPL levels of 139%-500% FPL are charges a Pt. Liab. based on FPL level and description of Service

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