{"hospital":{"ccn":"050139","name":"KAISER FOUNDATION HOSPITAL - DOWNEY","city":"DOWNEY","state":"CA","zip":"90242","phone":"562-461-6007","ownership":"Voluntary non-profit - Other","website_domain":"kaiserpermanente.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Federal Poverty Level Guidelines Financial Assistance Discount From To 0% - 200% 100% Discount (Full)","source_id":"fap-3f14200db0ea4e98","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"400","discount_percent":50}],"layer":"documented","quote":"Federal Poverty Level Guidelines Financial Assistance Discount From To 0% - 200% 100% Discount (Full) 201% - 400% 50% Discount (Partial)","source_id":"fap-3f14200db0ea4e98","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":{"value":false,"layer":"documented","quote":"Assets are not considered in the means-test.","source_id":"fap-b0c57b76855f3dab","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income"],"layer":"documented","quote":"Providing proof of income helps us determine if you qualify.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail your completed application to: Kaiser Permanente MFA Program P.O. Box 7086 Pasadena, CA 91109-7086"},{"kind":"fax","detail":"Fax your completed application to 1-866-519-1693"},{"kind":"portal","detail":"visit kp.org/helppaybills and sign up to receive a link to our secure online application"},{"kind":"in_person","detail":"Drop off your completed application at your local Kaiser Permanente Admitting Department."}],"layer":"documented","quote":"Ways to apply Apply online kp.org/helppaybills Fax it in Fax your completed application to 1-866-519-1693 Mail it in Mail your completed application to: Kaiser Permanente MFA Program P.O. Box 7086 Pasadena, CA 91109-7086 Drop it off Drop off your completed application at your local Kaiser Permanente Admitting Department.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"If your application is complete, we will send you a letter with our decision within 30 business days.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"Reasonable Time for Patient to Apply The patient has been provided at least 240 days from the first billing statement to apply for MFA.","source_id":"fap-3f14200db0ea4e98","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"1-800-390-3507","layer":"documented","quote":"Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Pacific time to find the nearest Kaiser Permanente hospital that provides in-person assistance with your application.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday, 8 a.m. to 5 p.m.","layer":"documented","quote":"Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Pacific time to find the nearest Kaiser Permanente hospital that provides in-person assistance with your application.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Chinese","Vietnamese","Korean","Tagalog","Arabic","Armenian","Farsi","Hindi","Hmong","Japanese","Khmer","Laotian","Mien","Navajo","Punjabi","Russian","Thai","Ukrainian"],"layer":"documented","quote":"Notice of Language Assistance Services English: If you need help in your language, language assistance is available at no cost to you, 24 hours a day, 7 days a week. Call our Member Service Contact Center at 1-800-464-4000 (TTY 711) for help or visit any registration desk for more information at any Kaiser Permanente facility, Monday through Friday, 8 a.m. to 5 p.m.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["KFH Downey"],"layer":"documented","quote":"Kaiser Foundation Hospitals in Southern California include: KFH Anaheim KFH Irvine KFH Baldwin Park KFH Fontana KFH South Bay KFH Los Angeles KFH Panorama KFH Riverside KFH Moreno Valley KFH San Diego KFH West Los Angeles KFH Woodland Hills KFH Downey KFH Ontario KFH Zion KFH San Marcos","source_id":"fap-b0c57b76855f3dab","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-b0c57b76855f3dab","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/support/mfa-policy-scal-2024-english.pdf","title":"POLICY TITLE Medical Financial Assistance","fetched_on":"2026-10-13","sha256":"b0c57b76855f3dabb8f1d640ebaf3689dd8af14ae3391a7e5ae8a9cc617923c7","effective_date":null},{"id":"summary-8518fe7e40b6ca2c","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/mfa/southern-california/english/mfa-plain-language-summary-scal-english-ada.pdf","title":"Medical Financial Assistance Policy Summary","fetched_on":"2026-10-13","sha256":"8518fe7e40b6ca2cc0365ececb92cc2c804b96b9893959093910f3c6efee34c9","effective_date":null},{"id":"fap-3f14200db0ea4e98","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/mfa/southern-california/english/mfa-policy-and-addendum-scal-english-ada.pdf","title":"POLICY TITLE Medical Financial Assistance","fetched_on":"2026-10-13","sha256":"3f14200db0ea4e98fa5331abf0bb93999ee7ba25f240dcf62267dc015e2ee0b2","effective_date":null},{"id":"fap-763b665d4845ad87","kind":"hospital_web","url":"https://www.kaiserpermanente.org/help-paying-your-bill/medical-financial-assistance/documents","title":"download","fetched_on":"2026-10-13","sha256":"763b665d4845ad8732a89c3949138ea6742e798f1624b0168fefc0802052579d","effective_date":null}],"accuracy":null}