HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

COLLEGE MEDICAL CENTER

2776 PACIFIC AVENUE
LONG BEACH, CA 90806
https://www.glendorahospital.com

License:

General Acute Care Hospital
Total Beds: 121
Emergency Room: Yes
more... Link to Atlas

Contact:

Douglas Mackay
(626) 852-5050

OSHPD ID:

106190587

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

6/17/2021

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

6/17/2021

Discount Payments

FPL Range: 351%-985%
Payment Basis:
Other: Discount is a sliding scale (see policy)
Other: Discount is a sliding scale (see policy)

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

6/17/2021

Download:

Income Type Used:

Salary Received

Language Information

Available Languages:

English

Additional Information

Patients with catastrophic injuries may be eligible to receive free care with familial incomes at or below 350% of the FPL (see policy).

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