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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

KAISER FOUNDATION HOSPITAL - FREMONT

39400 PASEO PADRE PARKWAY
FREMONT, CA 94538
http://www.kaiserpermanente.org

License:

General Acute Care Hospital
Total Beds: 100
Emergency Room: Yes
more... Link to Atlas

Contact:

Fonda Carlisle
(510) 248-7603

OSHPD ID:

106014132

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2012

Download:

Federal Poverty Level for Free Care:

350%

Discount Payment Effective Date:

1/1/2012

Discount Payments

FPL Range: 351%-400%
Payment Basis:
Medicare

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2011

Download:

Income Type Used:

Salary Received
Pension Received
Other: Unemployment, Social Security, Disability, etc.

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog
Chinese
Armenian

Additional Information

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