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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2014-2015 (1/16/2014)
2012-2013 (6/25/2012)
2012-2013 (6/25/2012)
2010-2011 (5/10/2011)
2010-2011 (5/10/2011)
2010-2011 (12/24/2009)
2008-2009 (1/13/2009)
2008-2009 (9/8/2008)
2008-2009 (6/18/2008)
2008-2009 (6/18/2008)
2008-2009 (1/23/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER
101 CITY DRIVE SOUTH
ORANGE, CA 92868
http://www.ucihealth.org
License:
General Acute Care Hospital
Total Beds:
402
Emergency Room:
Yes
more...
Contact:
Crystal Dexter
(714) 456-6324
OSHPD ID:
106301279
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
5/1/2021
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:
5/1/2021
Discount Payments
Discount Payment
1
FPL Range:
201
%-
400
%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
5/1/2021
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
