HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

VICTOR VALLEY GLOBAL MEDICAL CENTER

15248 ELEVENTH STREET
VICTORVILLE, CA 92395
https://victorvalleyglobalmedicalcenter.com

License:

General Acute Care Hospital
Total Beds: 101
Emergency Room: Yes
more... Link to Atlas

Contact:

Jeff Corless
(714) 676-8878

OSHPD ID:

106361370

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2023

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

1/1/2023

Discount Payments

FPL Range: 200%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: Inland Empire Health Plan (IEHP)

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2023

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: applicant's income declaration

Language Information

Available Languages:

English
Spanish

Additional Information

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