LUCILE PACKARD CHILDREN’S HOSPITAL STANFORD

LUCILE PACKARD CHILDREN’S HOSPITAL STANFORD
725 WELCH ROAD
PALO ALTO, CA  94304
http://www.stanfordchildrens.com

Contact:

Maricar Montes, Patient Advocacy Manager
(650) 725-4433

License:

General Acute Care Hospital
Total Beds:  396
Emergency Room:  Yes

OSHPD ID:

106434040

Fair Pricing Policy Information  

Policy Effective Date:7/1/2016

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:4/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: Avg reimbursement of LPCH’s govt payers

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Uninsured Discount

Application Form Information

Application Form Eff Date:10/1/2007

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog
Chinese

Additional Information

Patient eligiblity for free care is determined by management evaluation of a several of factors including patient familial income at or below 400% of the current FPL and type of care received (see Financial Assistance/Charity Care policy for more information).


Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106434040

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