FAIRMONT HOSPITAL

FAIRMONT HOSPITAL
15400 FOOTHILL BOULEVARD
SAN LEANDRO, CA  94578
http://www.acmedctr.com

Contact:

Paula Connors
(510) 437-4721

License:

General Acute Care Hospital
Total Beds:  159
Emergency Room:  Yes

OSHPD ID:

106010811

Fair Pricing Policy Information  

Policy Effective Date:12/1/2000

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:12/1/2002

Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Other: 60% discount on billed charges

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:3/1/2008

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: State Disability, UIB

Language Information

Available Languages:

English
Spanish
Vietnamese
Chinese

Additional Information

The enrollment forms are available in English, Spanish and Chinese. Alameda County Medical Center has had both a Charity and Discount Policy for years. The Charity Policy was put into effect 12/1/2000 but I am not sure of the date the Discount Policy was put in effect, but I know it has been at least five years. The attached policy covers both the Charity and Discount policies.

Source” :https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106010811


Was this article helpful?

Related Articles