MISSION OAKS HOSPITAL
15891 LOS GATOS-ALMADEN ROAD
LOS GATOS, CA 95032
http://www.goodsamsanjose.com
Contact:
Taylor Randalls
(615) 234-6150
License:
General Acute Care Hospital
Total Beds: 70
Emergency Room: Yes
OSHPD ID:
106430915
Fair Pricing Policy Information
Policy Effective Date:11/1/2017
Download:
Federal Poverty Level for Free Care:
350%
Discount Payment Effective Date:11/1/2017
Discount Payments:
Discount Payment 1
FPL Range: 401%-600%
Payment Basis:
Other: Balances capped at 10% of annual income
Discount Payment 2
FPL Range: 601%-800%
Payment Basis:
Other: Balances capped at 12% of annual income
Discount Payment 3
FPL Range: 801%-999%
Payment Basis:
Other: Balances capped at 15% of annual income.No FPL max
Other Discount Payment Information:
351-400% FPL–balances capped at 4% of annual income
Application Form Information
Application Form Eff Date:1/1/2015
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
THE EFFECTIVE DATE OF THE CHARITY AND UNINSURED POLICIES IS 11/01/2017
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106430915