LOMA LINDA UNIVERSITY CHILDREN’S HOSPITAL

LOMA LINDA UNIVERSITY CHILDREN’S HOSPITAL
11234 ANDERSON ST.
LOMA LINDA, CA  92354
http://www.lomalindahealth.com

Contact:

Public Relations
(909) 558-4419

License:

General Acute Care Hospital
Total Beds:  343
Emergency Room:  Yes

OSHPD ID:

106364502

Fair Pricing Policy Information  

Policy Effective Date:12/7/2017

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:12/7/2017

Discount Payments:

Discount Payment 1

FPL Range: 201%-260%
Payment Basis:
Medicare
Medi-Cal
Worker’s Compensation
Other Government Insurance
Other: 75% of Medicare Allowable

Discount Payment 2

FPL Range: 261%-320%
Payment Basis:
Medicare
Medi-Cal
Worker’s Compensation
Other Government Insurance
Other: 50% of Medicare Allowable

Discount Payment 3

FPL Range: 321%-350%
Payment Basis:
Medicare
Medi-Cal
Worker’s Compensation
Other Government Insurance
Other: 25% of Medicare Allowable

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:12/24/2014

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Hmong
Tagalog
Cambodian
Korean
Chinese
Armenian
Russian
Other: 15 other languages

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106364502

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