UCSD HEALTH LA JOLLA – JACOBS MEDICAL CENTER & SULPIZIO CARDIOVASCULAR CENT

UCSD HEALTH LA JOLLA – JACOBS MEDICAL CENTER & SULPIZIO CARDIOVASCULAR CENT
9300 CAMPUS POINT DRIVE
LA JOLLA, CA  92037
http://health.ucsd.edu/

Contact:

Christina Diaz
(619) 543-3689

License:

General Acute Care Hospital
Total Beds:  418
Emergency Room:  Yes

OSHPD ID:

106374141

Fair Pricing Policy Information  

Policy Effective Date:3/4/2009

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:3/4/2009

Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

In addition to FPL and other relevant financial information, clinical information provided by the Physician is also evlauted in making charity care determinations which are ultimately approved or denied by either the Physician-in-Chief and/or the Physician Advisor for ALL cases submitted Prior to or Concurrent with care being provided. Charity Care requested subsequent to care is reviewed and approved based on FPL and other related financial information.

Application Form Information

Application Form Eff Date:3/4/2009

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Other: Tax returns, Cash, Other Liquid Assets

Language Information

Available Languages:

English
Spanish

Additional Information

The Patient Financial Policy includes the processes by which a patient presenting without coverage or insufficient coverage is handled and thereby encompasses how Charity Care is determined.

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106374141

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