SAN GABRIEL VALLEY MEDICAL CENTER

SAN GABRIEL VALLEY MEDICAL CENTER
438 W. LAS TUNAS DRIVE
SAN GABRIEL, CA  91776
http://www.sgvmc.com

Contact:

Lorna Laraya
(626) 289-5454

License:

General Acute Care Hospital
Total Beds:  273
Emergency Room:  Yes

OSHPD ID:

106190200

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 201%-500%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

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:1/1/2015

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Unemployment Ins and Disability Insurance

Language Information

Available Languages:

English

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190200

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