CASA COLINA HOSPITAL
255 EAST BONITA AVENUE
POMONA, CA 91767
http://CasaColina.Org
Contact:
Lisa Sousamain
(909) 596-7733 Ext. 2166
License:
General Acute Care Hospital
Total Beds: 99
Emergency Room: Yes
OSHPD ID:
106190137
Fair Pricing Policy Information
Policy Effective Date:1/1/2016
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/1/2016
Discount Payments:
Discount Payment 1
FPL Range: 201%-250%
Payment Basis:
Other: Patient is responsible for 25% of total bill.
Discount Payment 2
FPL Range: 251%-300%
Payment Basis:
Other: Patient is responsible for 50% of total bill.
Discount Payment 3
FPL Range: 301%-350%
Payment Basis:
Other: Patient is responsible for 75% of total bill.
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:1/1/2016
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
No significant changes since last update for 2015-2016 in accordance with SB1276 updates.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190137