PAYMENT PLANS
There are options of how you can pay your bill, including setting up a payment plan. Please call 209-488-4820 for more information on your bill and potential payment options.
MEDI-CAL
Eligibility for financial assistance is based on an evaluation of income and expense information. Patients must meet eligibility requirements and complete an application to qualify. Eligible patients cannot be charged more than the amounts generally billed for emergency or other medically necessary care.
FINANCIAL ASSISTANCE
Kentfield Hospital realizes that hospital care can be expensive. To help meet the needs of low-income, uninsured and underinsured patients, Kentfield Hospital has a financial assistance program for full charity or discounted care to assist eligible patients who do not have the financial ability to pay their medical bills.
Based on current Federal Poverty Level guidelines, you may qualify for free or discounted care. Eligibility for financial assistance is based on an evaluation of family income and medical costs. Patients must meet eligibility requirements and complete an application to qualify. To learn more about eligibility and application requirements, the Financial Assistance Policy, the Financial Assistance Application, and the Billing and Collections Policy are linked below.
Financial Assistance Policy
Financial Assistance Policy Application
Debt Collection Policy
HOW TO APPLY
In order to determine your eligibility for financial assistance, you will need to complete the free Financial Assistance Application and provide additional supporting documents.
Access the Financial Assistance Application by using the link above. Additionally, it can be accessed in person at Kentfield Hospital’s Main Admitting Department or Patient Financial Services Department* or by mail if requested by calling 209-488-4820. You must submit your Financial Assistance Application in person or by mail to the Patient Financial Services Department* at:
Patient Financial Services Department
5258 Pirrone Ct
Salida, CA 95368
MORE INFO
You can request help with your bill or with the application by visiting the Patient Financial Services Department* in person or by calling 209-488-4820.
*Patient Financial Services Department is open Monday through Friday from 8:00 am to 4:30 pm, except holidays.
HOSPITAL BILL COMPLAINT PROGRAM
The Hospital Bill Complaint Program is a state program, which reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.