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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SONOMA VALLEY HOSPITAL

347 ANDRIEUX STREET
SONOMA, CA 95476
http://www.svh.com

License:

General Acute Care Hospital
Total Beds: 51
Emergency Room: Yes
more... Link to Atlas

Contact:

Timothy Noakes
(707) 935-5003

OSHPD ID:

106491076

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

5/1/2012

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

5/1/2012

Discount Payments

FPL Range: 201%-350%
Payment Basis:
Other: 75% discounted rate

FPL Range: 351%-450%
Payment Basis:
Other: 50% discounted rate

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2012

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Rental Income

Language Information

Available Languages:

English
Spanish

Additional Information

All new policies written and attached

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