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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

MONTEREY PARK HOSPITAL

900 SOUTH ATLANTIC BOULEVARD
MONTEREY PARK, CA 91754-4780
http://www.montereyparkhosp.com

License:

General Acute Care Hospital
Total Beds: 101
Emergency Room: Yes
more... Link to Atlas

Contact:

Ralph Reyes
(626) 570-5734

OSHPD ID:

106190547

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2015

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

1/1/2015

Discount Payments

FPL Range: 400%-500%
Payment Basis:
Medicare

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

12/15/2006

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: WCOMP, EDD, Grants, Annuity, Gambling, Lotto

Language Information

Available Languages:

English
Spanish

Additional Information

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