SOUTHERN INYO HOSPITAL
501 EAST LOCUST STREET
LONE PINE, CA 93545
http://www.sihd.com
Contact:
Lee Barron
(760) 876-5501
License:
General Acute Care Hospital
Total Beds: 37
Emergency Room: Yes
OSHPD ID:
106141338
Fair Pricing Policy Information
Policy Effective Date:1/1/2005
Download:
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:1/1/2005
Discount Payments:
Discount Payment 1
FPL Range: 101%-150%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: No insurance or low income with commercial ins 75%
Discount Payment 2
FPL Range: 151%-200%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: No insurance or low income with commercial ins 50%
Discount Payment 3
FPL Range: 201%-250%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: No insurance or low income with commerical ins 25%
Other Discount Payment Information:
Schedule indicating the level of discount in relation to total familial income is located with the application form.
Application Form Information
Application Form Eff Date:1/1/2005
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: child/spousal support, real estate, unemployment
Language Information
Available Languages:
English
Spanish
Additional Information
please send all mail to the PO Box, we receive NO mail at the street address. If sent to the street address it will be returned.
Source” :https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106141338