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Hospital Details

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STANFORD HEALTH CARE - VALLEYCARE
5555 WEST LAS POSITAS BLVD.
PLEASANTON, CA  94588
https://valleycare.com/
General Acute Care Hospital
Total Beds:  167
Emergency Room:  Yes
more... Link to Atlas
Kristine Grajo, Director, PFS Self Pay
(650) 724-5286
106014050
8/1/2016
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400%
8/1/2016

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:
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.
2/1/2022
Application File PDF Document Icon
Salary Received
Interest Received
Pension Received
Other: Income Tax Returns
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Current policy effective July 2020. Updated to include section describing SHC-VC's policy not to engage in any extraordinary collection actions (ECA's) and reference to SHC-VC's Debt Collection Policy. Financial Assistance department location and contact information also updated.

 

Family
Size		100%150%200%250%300%350%400%