HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

LA PALMA INTERCOMMUNITY HOSPITAL

7901 WALKER STREET
LA PALMA, CA 90623
http://www.lphospital.com/

License:

General Acute Care Hospital
Total Beds: 140
Emergency Room: Yes
more... Link to Atlas

Contact:

Barbara Lauper
(714) 229-4049

OSHPD ID:

106301234

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/1/2021

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

12/1/2021

Discount Payments

FPL Range: 401%-450%
Payment Basis:
Medicare
Medi-Cal
Healthy Families

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Approved in some instances of homelessness, deceased with no known next of kin, Proof of no source of income

Application Form Information

Application Form Eff Date:

12/1/2021

Download:

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish

Additional Information

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