医生服务
Patient financial assistance program for physician services
皇冠hga025大学洛杉矶分校健康 physicians strive to provide quality patient care and meet high standards for the communities we serve. We are committed to helping eligible patients who are not able to pay for all or part of their care. Our mission and vision include providing full financial assistance (100% discount) or partial discounts to eligible patients who are low income, uninsured or under-insured. Further information on 皇冠hga025大学洛杉矶分校健康 Physicians' Financial Assistance Program is provided below.
合格的服务
The Financial Assistance Program applies to emergency or other medically necessary healthcare services provided and billed by 皇冠hga025大学洛杉矶分校健康 physicians.
Determination of eligibility
Eligibility is determined based on review of a fully completed Financial Assistance Application and supporting documents, including proof of income, assets and liabilities. 一般, patients with family income at or below 200% of the Federal Poverty Level will be eligible for a discount of up to 100%. Patients with family income between 201% and 350% of the Federal Poverty Level may be eligible for a partial discount based on income level.
If you receive financial assistance under our policy, you will not be charged more for emergency or other medically necessary care than the amount generally billed to patients having Medicare fee-for-service coverage. In some instances, patients may be presumptively determined eligible for financial assistance.
查看U.S. federal poverty guidelines used to determine financial eligibility, visit:
How to obtain copies of our financial assistance policy and application
- On this page of the 皇冠hga025大学洛杉矶分校健康 website (see links below).
- To request documents by mail, contact our Physicians' 计费 Office Customer Service at 310-301-8860 (Monday through Friday, 7:00 am to 7:00 pm).
How to obtain assistance with our financial assistance program?
Contact our Physicians’ 计费 Office Customer Service at 310-301-8860 (Monday through Friday, 7:00 am to 7:00 pm).
Languages/Translations
The Financial Assistance Policy, Financial Assistance Application, and Plain Language Summary are available in 英语, 西班牙语, 波斯语, 阿拉伯语 and 中国人 in the “Documents” section below on this page, or separately in paper upon request.
If you would like an interpreter to help you with a different language, please contact our Interpreter Services Program at 310-267-8001. The 皇冠hga025大学洛杉矶分校健康 Interpreter/Translation Services Program provides services to all 皇冠hga025大学洛杉矶分校健康 patients and their relatives at no cost. For more information regarding 皇冠hga025大学洛杉矶分校健康’s Interpreter/Translation Services Program, visit: perfumesnarovi.com/interpreters.
How to apply for our financial assistance program
The Financial Assistance Application with all supporting documents may be mailed to:
邮件:
皇冠hga025大学洛杉矶分校健康 - Physicians' 计费 Office
Financial Assistance Program
5767 West Century Blvd.400套房
洛杉矶，CA 90045