Financial Assistance Policy

This policy applies to the cost of services for medically necessary services provided by the Facility to patients who meet the requirements for charity care or discounted payment. Unless otherwise specified, this policy does not apply to services provided by physicians or other medical providers, including, without limitation, emergency room physicians, anesthesiologists, radiologists, hospitalists, pathologists, etc., whose services are not included in a patient’s bill from the Facility. This policy does not create an obligation for the Facility to pay for such physicians’ or other medical providers’ services. In California, an emergency physician who provides emergency services in a hospital is required to provide discounts to uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level.

Financial Assistance Application

Provided in Accordance with Cal. Health & Safety “Phone number here”

Consumers Resources

The Health Consumer Alliance (HCA) is an independent consumer assistance program that offers free over-the-phone or in-person assistance to help people struggling to get or maintain health coverage and resolve problems with their health plans. HCA can assist you with applying for coverage such as Medi-Cal, Hospital Presumptive Eligibility, private insurance, or Covered California. You may contact HCA by telephone at (888) 804-3536 or online.