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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

O'CONNOR HOSPITAL

2105 FOREST AVENUE
SAN JOSE, CA 95128
http://www.scvmed.org

License:

General Acute Care Hospital
Total Beds: 358
Emergency Room: Yes
more... Link to Atlas

Contact:

Pt Bus Svs Customer Service Unit
(408) 885-7470

OSHPD ID:

106430837

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2007

Download:

Policy File

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

1/1/2007

Discount Payments

Discount Payment 1

FPL Range: 101%-350%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2007

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: all forms of income

Language Information

Available Languages:

English
Spanish
Vietnamese

Additional Information

Our Charity Care program is limited to emergency care only and the patient's familial income must be at or below 100% of the FPL. Because of this we have an overlap in the FPL level between our Charity Care & Discount Payment program. Those patients that are not able to qualify for charity care may be qualified for discounted payments (see hospital's charity care and discounted payment policies for more information). We also take applications using 2 methods, i.e. on-line and hard copy. Only the hard copy application is in the multiple languages indicated.

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