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Stanislaus Surgical Hospital — Financial Assistance & Charity Care
Modesto, Stanislaus County, CA
Under California law (the Hospital Fair Pricing Act), Stanislaus Surgical Hospital must offer free or discounted care to patients who can't afford their bills. Here's who qualifies and how to apply — you can apply even if your bill already went to collections.
Do you qualify for FREE care?
Stanislaus Surgical Hospital provides free (charity) care to patients at or below 100% of the Federal Poverty Level. If your yearly household income is at or below the amount for your household size, you likely qualify for 100% free care:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $15,960/yr | 100% free care |
| 2 people | $21,640/yr | 100% free care |
| 3 people | $27,320/yr | 100% free care |
| 4 people | $33,000/yr | 100% free care |
| 5 people | $38,680/yr | 100% free care |
| 6 people | $44,360/yr | 100% free care |
| 7 people | $50,040/yr | 100% free care |
| 8 people | $55,720/yr | 100% free care |
Discounted care
Patients up to 400% of the Federal Poverty Level qualify for discounted care — you'd owe no more than the amount generally billed to insured patients:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $63,840/yr | discounted care |
| 2 people | $86,560/yr | discounted care |
| 3 people | $109,280/yr | discounted care |
| 4 people | $132,000/yr | discounted care |
| 5 people | $154,720/yr | discounted care |
| 6 people | $177,440/yr | discounted care |
| 7 people | $200,160/yr | discounted care |
| 8 people | $222,880/yr | discounted care |
What you'll need to apply
- Completed Application
- Supporting documentation of family income
- Information regarding health benefits (private insurance, Medicare, Medi-Cal/Healthy Families/California Children's Services or other state-funded programs)
- Denial of coverage documentation if applicable
How to apply
Based on this hospital's policy effective 06/01/2022.
Not sure if you qualify?
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