LAC/HARBOR-UCLA MEDICAL CENTER
1000 WEST CARSON STREET
TORRANCE, CA 90502
http://www.harbor-ucla.com/
Contact:
SOFIA HURTADO – Manager Elig. & Provider Svcs.
(213) 288-8277
License:
General Acute Care Hospital
Total Beds: 453
Emergency Room: Yes
OSHPD ID:
106191227
Fair Pricing Policy Information
Policy Effective Date:2/1/2016
Download:
Federal Poverty Level for Free Care:
138%
Discount Payment Effective Date:2/1/2016
Discount Payments:
Discount Payment 1
FPL Range: 139%-350%
Payment Basis:
Medi-Cal
Discount Payment 2
FPL Range: 0%-0%
Payment Basis:
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
The Hospital’s discount policy does not establish a strict FPL based limit on eligibility; rather, patient liability is a function of the patient’s ability to pay, and the size of his or her liability for services. Only patients whose income is at or below 350% of FPL are entitled to have their charges limited to what Medi-Cal would pay.
Application Form Information
Application Form Eff Date:1/1/2008
Download:
Income Type Used:Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
The attached policy was converted using Adobe OCR and may have some typographical errors or graphical inconsistencies due to poor character recognition. Please refer to the original policies if you have questions regarding these policies.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106191227