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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (1/24/2023)
2014-2015 (3/26/2014)
2012-2013 (6/6/2012)
2010-2011 (1/21/2010)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
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Download:
Policy File
Download:
Application File
General Information
Hospital:
FREMONT HOSPITAL
39001 SUNDALE DRIVE
FREMONT, CA 94538
http://www.fremonthospital.com/
License:
Acute Psychiatric Hospital
Total Beds:
148
Emergency Room:
Yes
more...
Contact:
Ed Berger
(510) 796-1100
OSHPD ID:
106014034
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2007
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
1/1/2007
Discount Payments
Discount Payment
1
FPL Range:
101
%-
400
%
Payment Basis:
Other: 50% of either Medicare or Medi-Cal rate
Discount Payment
2
FPL Range:
251
%-
400
%
Payment Basis:
Medicare
Medi-Cal
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
Income Type Used:
Salary Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
