HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

BHC ALHAMBRA HOSPITAL

4619 ROSEMEAD BOULEVARD
ROSEMEAD, CA 91770
http://www.bhcalhambra.com

License:

Acute Psychiatric Hospital
Total Beds: 97
Emergency Room: Yes
more... Link to Atlas

Contact:

Peggy Minnick
(626) 286-1191

OSHPD ID:

106190020

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

8/1/2022

Download:

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

8/1/2022

Discount Payments

FPL Range: 101%-250%
Payment Basis:
Medicare
Medi-Cal
Other: 50% of Medicare or Medi-Cal rate

FPL Range: 251%-350%
Payment Basis:
Medicare
Medi-Cal

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2010

Download:

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish

Additional Information

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