EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS
500 1ST AVE
PORTOLA, CA 96122
http://www.ephc.com
Contact:
TIFFANY WILLIAMS
(530) 832-6564
License:
General Acute Care Hospital
Total Beds: 36
Emergency Room: Yes
OSHPD ID:
106320859
Fair Pricing Policy Information
Policy Effective Date:12/31/2014
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:12/31/2014
Discount Payments:
Discount Payment 1
FPL Range: 200%-300%
Payment Basis:
Other: COST SHARE SCALE
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:12/31/2014
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: Tax Return Income; Bank Statements
Language Information
Available Languages:
English
Spanish
Additional Information
Determination of free care for patients is based upon a calculation performed by hospital management where the patient’s familial income being at or below 200% of the FPL is part of the calculation.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106320859