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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2014-2015 (2/6/2014)
2012-2013 (6/4/2012)
2012-2013 (6/4/2012)
2010-2011 (5/12/2010)
2010-2011 (5/12/2010)
2008-2009 (6/13/2008)
2008-2009 (6/13/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
JOHN C FREMONT HEALTHCARE DISTRICT
5189 HOSPITAL RD.
MARIPOSA, CA 95338
http://www.jcf-hospital.com
License:
General Acute Care Hospital
Total Beds:
34
Emergency Room:
Yes
more...
Contact:
Kym Brownell, Executive Assistant
209-966-3631
OSHPD ID:
106220733
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2007
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
1/1/2007
Discount Payments
Discount Payment
1
FPL Range:
101
%-
125
%
Payment Basis:
Other: 25% of Medicare Amount Payable
Discount Payment
2
FPL Range:
126
%-
150
%
Payment Basis:
Other: 50% of Medicare Amount Payable
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/1/2007
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Language Information
Available Languages:
English
Spanish
Additional Information
discounts for patient ><500
Family
Size
100%
150%
200%
250%
300%
350%
400%
