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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

MILLS-PENINSULA MEDICAL CENTER
1501 TROUSDALE DRIVE
BURLINGAME, CA 94010
https://www.sutterhealth.org/mills

License:

General Acute Care Hospital
Total Beds: 241
Emergency Room: Yes
more... Link to Atlas

Contact:

Scott Abram
(916) 503-6978 Ext. 50369

OSHPD ID:

106410852

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

10/1/1990

Download:

Policy File

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

1/1/2016

Discount Payments:

Other Discount Payment Information:

Medi-Cal patient Share of Cost is excluded. Insured Patient with a Family Income at or below 400% of the most recent FPL AND Medical expenses for themselves or their family (incurred at the Hospital or paid to other providers in the past 12 months) exceed 10% of the patient's Family Income.

Application Form Information

Application Form Eff Date:

1/1/2016

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: real estate, personal property, alimony & support

Language Information

Available Languages:

English
Spanish
Vietnamese
Hmong
Tagalog
Cambodian
Korean
Chinese
Armenian
Russian
Other: Japanese, Arabic, Hindu, Portuguese, and 11 others

Additional Information

In addition to the income-based Financial Assistance set forth below, this Sutter Hospital offers financial assistance to insured patients with high medical costs, and patients who are not otherwise covered by health insurance, regardless of income. The guidelines for this assistance are outlined in the attached policy.

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