ALTA BATES SUMMIT MEDICAL CENTER-HERRICK CAMPUS
2001 DWIGHT WAY
BERKELEY, CA 94704
http://www.altabates.com
Contact:
Patrick McDermott
(916) 297-9528
License:
General Acute Care Hospital
Total Beds: 68
Emergency Room: Yes
OSHPD ID:
106010844
Fair Pricing Policy Information
Policy Effective Date:10/1/1990
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/1/2016
Discount Payments:
Discount Payment 1
FPL Range: 201%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: Uninsured Patients, Insured w/High Medical Costs
Discount Payment 2
FPL Range: 0%-0%
Payment Basis:
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Medi-Cal patient Share of Cost is excluded. Insured Patient with a Family Income at or below 400% of the most recent FPL AND Medical expenses for themselves or their family (incurred at the Hospital or paid to other providers in the past 12 months) exceed 10% of the patient’s Family Income.
Application Form Information
Application Form Eff Date:1/1/2016
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: real estate, personal property, alimony and suppor
Language Information
Available Languages:
English
Spanish
Vietnamese
Hmong
Tagalog
Cambodian
Korean
Chinese
Armenian
Russian
Other: Japanese, Arabic, Hindu, Portuguese, and 11 others
Additional Information
In addition to the income-based Financial Assistance set forth below, this Sutter Hospital offers financial assistance to insured patients with high medical costs, and patients who are not otherwise covered by health insurance, regardless of income. The guidelines for this assistance are outlined in the attached policy.
Source” :https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106010844