LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER

LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER
375 LAGUNA HONDA BOULEVARD
SAN FRANCISCO, CA  94116
http://www.sfdph.com/dph/comupg/oservices/medSvs/LHH/

Contact:

Admissions and Eligibility Department
(415) 759-3325

License:

General Acute Care Hospital
Total Beds:  780
Emergency Room:  Yes

OSHPD ID:

106380865

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

133%

Discount Payment Effective Date:4/1/2014

Discount Payments:

Discount Payment 1

FPL Range: 133%-200%
Payment Basis:
Other: 60% of DRG

Discount Payment 2

FPL Range: 201%-350%
Payment Basis:
Other: 80% of DRG

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:4/1/2014

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

dditional Information

Patient Liab. is based on FPL level and Service Type: Out Patient 0-133% FPL = 0 Pt. Liab. LTC 0%-100% FPL = Zero Pt. Liab for first 15 days of LTC., and thirty five dollars per day after the first 15 days of LTC. Inpatients who have FPL levels of 101%-350% FPL are charges a Pt. Liab. based on FPL level and description of Service

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106380865

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