HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

WASHINGTON HOSPITAL - FREMONT

2000 MOWRY AVENUE
FREMONT, CA 94538
http://www.whhs.com

License:

General Acute Care Hospital
Total Beds: 341
Emergency Room: Yes
more... Link to Atlas

Contact:

Chris Henry
(510) 818-8602

OSHPD ID:

106010987

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2022

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

1/1/2022

Discount Payments

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2022

Download:

Income Type Used:

Salary Received
Other: monetary assets excluding retirement & def. comp

Language Information

Available Languages:

English
Spanish
Chinese
Other: Farsi, all other languages available upon request.

Additional Information

The policy has been updated effective 1-1-2022.

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