LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
http://www.ladhs.com
Contact:
Sofia Hurtado
(213) 240-8277
License:
General Acute Care Hospital
Total Beds: 355
Emergency Room: Yes
OSHPD ID:
106191231
Fair Pricing Policy Information
Policy Effective Date:12/15/2007
Download:
Policy File
Federal Poverty Level for Free Care:
138%
Discount Payment Effective Date:12/15/2007
Discount Payments:
Discount Payment 1
FPL Range: 139%-350%
Payment Basis:
Medi-Cal
Discount Payment 2
FPL Range: 0%-0%
Payment Basis:
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
The Hospital’s discount policy does not establish a strict FPL based limit on eligibility; rather, patient liability is a function of the patient’s ability to pay, and the size of his or her liability for services. Only patients whose income is at or below 350% of FPL are entitled to have their charges limited to what Medi-Cal would pay.
Application Form Information
Application Form Eff Date:1/1/2008
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
The attached policy was converted using Adobe OCR and may have some typographical errors or graphical inconsistencies due to poor character recognition. Please refer to the original policies if you have questions regarding these policies.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106191231