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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

KAWEAH DELTA MENTAL HEALTH HOSPITAL D/P APH

1100 SO. AKERS STREET
VISALIA, CA 93277
http://www.kaweahhealth.org

License:

General Acute Care Hospital
Total Beds: 63
Emergency Room: Yes
more... Link to Atlas

Contact:

Monica Whitney
(559) 624-4253

OSHPD ID:

106544009

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

5/29/2019

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

5/29/2019

Discount Payments

FPL Range: 201%-250%
Payment Basis:
Medicare
Other: 30% of Medicare amount payable

FPL Range: 251%-300%
Payment Basis:
Medicare
Other: 50% of Medicare amount payable

FPL Range: 301%-350%
Payment Basis:
Medicare
Other: 85% of Medicare amount payable

Other Discount Payment Information:

Patients who do not meet the FPL criteria or who do not apply for Financial Assistance will be granted the Community Managed Care rate.

Application Form Information

Application Form Eff Date:

6/27/2018

Download:

Income Type Used:

Salary Received
Interest Received
Other: Real estate rentals, social security, alimony...

Language Information

Available Languages:

English
Spanish

Additional Information

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