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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

MAYERS MEMORIAL HOSPITAL

43563 STATE HWY. 299 E
FALL RIVER MILLS, CA 96028
http://www.mayersmemorial.com

License:

General Acute Care Hospital
Total Beds: 115
Emergency Room: Yes
more... Link to Atlas

Contact:

Financial Counselor
(530) 336-5511

OSHPD ID:

106450936

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

9/29/2021

Download:

Policy File

Federal Poverty Level for Free Care:

75%

Discount Payment Effective Date:

8/12/2020

Discount Payments

Discount Payment 1

FPL Range: 76%-100%
Payment Basis:
Medicare
Other: 80% discount off "Medicare-like rate"

Discount Payment 2

FPL Range: 101%-150%
Payment Basis:
Medicare
Other: 60% discount off "Medicare-like rate"

Discount Payment 3

FPL Range: 151%-200%
Payment Basis:
Medicare
Other: 40% discount off "Medicare-like rate"

Other Discount Payment Information:

Discount Payment eligibility is based strictly off household income in comparison to FPL. Charity Care eligibility is based on: (1) household income / FPL; (2) assets; and (3) Medi-Cal ineligibility for service(s) in question.

Application Form Information

Application Form Eff Date:

2/23/2011

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%