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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

KENTFIELD HOSPITAL

1125 SIR FRANCIS DRAKE BLVD.
KENTFIELD, CA 94904
http://www.kentfieldrehab.com

License:

General Acute Care Hospital
Total Beds: 60
Emergency Room: Yes
more... Link to Atlas

Contact:

Ann Gors
(415) 456-9680

OSHPD ID:

106210993

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/17/2014

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

12/17/2014

Discount Payments

FPL Range: 401%-600%
Payment Basis:
Medicare
Medi-Cal
Other: Sliding scale based on total charges

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Eligibility determined on a case-by-case basis.

Application Form Information

Application Form Eff Date:

1/3/2008

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

Policy document has been updated to include the California Fair Pricing requirements

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