HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

KAISER FOUNDATION HOSPITAL - ANTIOCH

4501 SAND CREEK ROAD
ANTIOCH, CA 94531
https://www.kp.org/mfa/ncal

License:

General Acute Care Hospital
Total Beds: 150
Emergency Room: Yes
more... Link to Atlas

Contact:

Juanita Flores
(925) 813-6982

OSHPD ID:

106074097

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:

Amounts Generally Billed and Self Pay Discount

Application Form Information

Application Form Eff Date:

1/1/2022

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Unemployement, Social Security, Disability,

Language Information

Available Languages:

English
Spanish
Vietnamese
Hmong
Tagalog
Korean
Chinese
Armenian
Russian
Other: 17 Additional languages available on the website

Additional Information

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