KAISER FOUNDATION HOSPITAL – SAN RAFAEL

KAISER FOUNDATION HOSPITAL – SAN RAFAEL
99 MONTECILLO ROAD
SAN RAFAEL, CA  94903
http://www.kp.com/mfa/ncal

Contact:

Marquette Stockton
(415) 444-4972

License:

General Acute Care Hospital
Total Beds:  116
Emergency Room:  Yes

OSHPD ID:

106210992

Fair Pricing Policy Information  

Policy Effective Date:1/1/2020

Download:

Policy File

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Federal Poverty Level for Free Care:

350%

Discount Payment Effective Date:1/1/2016

Discount Payments:

Other Discount Payment Information:

Amounts Generally Billed and Self Pay Discounts

Application Form Information

Application Form Eff Date:1/1/2019

Download:

Application File

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Income Type Used:

Salary Received
Pension Received
Other: Unemployement, Social Security, Disability, etc.

Language Information

Available Languages:

English
Spanish
Vietnamese
Hmong
Tagalog
Korean
Chinese
Armenian
Russian
Other: Available in an additional 17 languages on our web

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106210992

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