MAYERS MEMORIAL HOSPITAL

MAYERS MEMORIAL HOSPITAL
43563 STATE HWY. 299 E
FALL RIVER MILLS, CA  96028
http://www.mayersmemorial.com

Contact:

Financial Counselor
(530) 336-5511

License:

General Acute Care Hospital
Total Beds:  115
Emergency Room:  Yes

OSHPD ID:

106450936

Fair Pricing Policy Information  

Policy Effective Date:2/23/2011

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

75%

Discount Payment Effective Date:2/23/2011

Discount Payments:

Discount Payment 1

FPL Range: 76%-100%
Payment Basis:
Medicare
Other: 80% discount off “Medicare-like rate”

Discount Payment 2

FPL Range: 101%-150%
Payment Basis:
Medicare
Other: 60% discount off “Medicare-like rate”

Discount Payment 3

FPL Range: 151%-200%
Payment Basis:
Medicare
Other: 40% discount off “Medicare-like rate”

Other Discount Payment Information:

Discount Payment eligibility is based strictly off household income in comparison to FPL. Charity Care eligibility is based on: (1) household income / FPL; (2) assets; and (3) Medi-Cal ineligibility for service(s) in question.

Application Form Information

Application Form Eff Date:2/23/2011

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106450936

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