HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

FAIRCHILD MEDICAL CENTER

444 BRUCE STREET
YREKA, CA 96097
http://fairchildmed.org

License:

General Acute Care Hospital
Total Beds: 28
Emergency Room: Yes
more... Link to Atlas

Contact:

Jody Gretzke
(530) 842-4121

OSHPD ID:

106474007

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/28/2007

Download:

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

12/28/2007

Discount Payments

FPL Range: 101%-200%
Payment Basis:
Other: 60% to 40% disc. depending on total chgs.

FPL Range: 201%-350%
Payment Basis:
Other: 25% to 5% disc. depending on total chgs.

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

12/28/2007

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Additional Information