HCAI Syfphr

Search > Results > Details

Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

MONROVIA MEMORIAL HOSPITAL

323 SOUTH HELIOTROPE AVENUE
MONROVIA, CA 91016
http://www.mmhosp.com

License:

General Acute Care Hospital
Total Beds: 49
Emergency Room: No
more... Link to Atlas

Contact:

Kathy Wojno
(626) 408-9800

OSHPD ID:

106190541

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2022

Download:

Policy File

Federal Poverty Level for Free Care:

Discount Payment Effective Date:

1/1/2022

Discount Payments

Discount Payment 1

FPL Range: 0%-400%
Payment Basis:
Other: Discounts based on the CEO's discretion.
Medicare
Medi-Cal
Healthy Families
Worker's Compensation
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:

Application Form Information

Application Form Eff Date:

1/1/2022

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: All other sources of income

Language Information

Available Languages:

English

Additional Information

The policy has not changed.

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