SANTA MONICA – UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL

SANTA MONICA – UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL
1250 16TH STREET
SANTA MONICA, CA  90404
http://uclahealth.com

Contact:

Helen Contreraz
(310) 825-7047

License:

General Acute Care Hospital
Total Beds:  281
Emergency Room:  Yes

OSHPD ID:

106190687

Fair Pricing Policy Information  

Policy Effective Date:1/1/2007

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:1/1/2007

Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
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:1/1/2007

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish
Russian

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190687

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