STANFORD HEALTH CARE

STANFORD HEALTH CARE
300 PASTEUR DRIVE
PALO ALTO, CA  94305
https://stanfordhealthcare.com/

Contact:

Kristine Grajo, Director, PFS Self Pay
(650) 724-5286

License:

General Acute Care Hospital
Total Beds:  613
Emergency Room:  Yes

OSHPD ID:

106430905

Fair Pricing Policy Information  

Policy Effective Date:4/8/2020

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:4/20/2020

Discount Payments:

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
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:

Scenarios in which FPL is not a criteria for determining the patient’s charity care discount is for Special Circumstance Financial Assistance cases: Financial assistance that provides a discount to eligible patients with annualized family income in excess of 400% of the Federal Poverty Guidelines and financial obligations resulting from medical services provided by any SHC entity or provider that exceed 10% of annualized family income. Details are included within the policy.

Application Form Information

Application Form Eff Date:4/20/2020

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog
Chinese
Russian

Additional Information

Current policy updated April 2020. Amounts Generally Billed has been updated from a look-back method to a prospective method based on Medicare rates.

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106430905

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