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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL

825 NORTH 10TH STREET
SANTA PAULA, CA 93060
http://www.vchca.org

License:

General Acute Care Hospital
Total Beds: 49
Emergency Room: Yes
more... Link to Atlas

Contact:

Michael Taylor
(805) 677-5110

OSHPD ID:

106560521

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/1/2009

Download:

Policy File

Federal Poverty Level for Free Care:

Discount Payment Effective Date:

2/1/2009

Discount Payments

Discount Payment 1

FPL Range: 0%-100%
Payment Basis:
Other: Income based sliding scale

Discount Payment 2

FPL Range: 101%-138%
Payment Basis:
Other: Income based sliding scale

Discount Payment 3

FPL Range: 138%-150%
Payment Basis:
Other: Income based sliding scale. See policy.

Other Discount Payment Information:

Charity will be determined via income and monetary assets. FPL of 350% is used to determine if no charge to patient. Please see hospital policies for more information.

Application Form Information

Application Form Eff Date:

8/1/2017

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Tax returns, W2, Paycheck stub, bank statement

Language Information

Available Languages:

English
Spanish
Other: Other translators are available as necessary

Additional Information

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