Waive

HENRY MAYO NEWHALL HOSPITAL

VALENCIA, CA · version 3 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"< $1,000 $1,000 - $2,500 $2,501 - $5,000 $5,001 - $10,000 $10,001 - $25,000 $25,001 - $50,000 $50,001 - $100,000 >$100,000 0 - 200% FPL Net assets: <$100,000 $100,000 -$150,000 $150,001 - 250,000 100% 100% 100% 100% 100% 100% 100% 100% 85% 85% 85% 85% 100% 100% 100% 100% 75% 75% 75% 75% 75% 100% 100% 100%"

documented · checked 2026-10-13 · Financial Assistance 2024 Final.pdf

eligibility.discount_tiersAbove 200% up to 400% of FPL: 75% discount

"0 - 200% FPL Net assets: <$100,000 $100,000 -$150,000 $150,001 - 250,000 100% 100% 100% 100% 100% 100% 100% 100% 85% 85% 85% 85% 100% 100% 100% 100% 75% 75% 75% 75% 75% 100% 100% 100% 201 - 400% FPL Net assets: <$100,000 $100,000 -$150,000 $150,001 - 250,000 75% 75% 75% 100% 100% 100% 100% 100% 75% 75% 75% 75% 75% 75% 75% 75% 50% 50% 50% 50% 50% 50% 50% 50%"

documented · checked 2026-10-13 · Financial Assistance 2024 Final.pdf

eligibility.insured_patients_coveredYes

"Henry Mayo Newhall Hospital (HMNH) offers financial assistance to patients who are uninsured (self pay) or insured patients with high medical costs."

documented · checked 2026-10-13 · Help Paying Your Bill

apply.form_urlhttps://www.henrymayo.com/app/files/public/c58f081d-fb12-47da-8686-bc4d345681be/Finanancial%20Assistance%20App%20English%20Final.docx

"Financial Assistance Application - [Click Here](https://www.henrymayo.com/app/files/public/c58f081d-fb12-47da-8686-bc4d345681be/Finanancial%20Assistance%20App%20English%20Final.docx)"

documented · checked 2026-10-13 · Help Paying Your Bill

apply.window_days_from_first_bill240 days

"Application Period – The period during which HMNH must accept and process an application for financial assistance under the FAP. The application period begins on the first post discharge billing statement date and ends the 240th day after HMNH provides the first post discharge bi lling statement."

documented · checked 2026-10-13 · Financial Assistance 2024 Final.pdf

collections.eca_wait_days180 days

"HMNH shall not undertake an Extraordinary Collection Action at any time prior to 180 days after HMNH provides the first post discharge billing statement if HMNH is aware that the patient lacks coverage or if the patient has provided information that indicates that he or she may be a patient with high medical costs."

documented · checked 2026-10-13 · Financial Assistance 2024 Final.pdf

contacts.phone661.200.1050

"Please visit the Patient Access Services Department in the Main Admitting area or call 661.200.1050 between the hours of 7:30 a.m. – 4 p.m., Monday through Friday."

documented · checked 2026-10-13 · Help Paying Your Bill

contacts.hours7:30 a.m. – 4 p.m., Monday through Friday

"Please visit the Patient Access Services Department in the Main Admitting area or call 661.200.1050 between the hours of 7:30 a.m. – 4 p.m., Monday through Friday."

documented · checked 2026-10-13 · Help Paying Your Bill

contacts.languagesEnglish
Spanish

"Financial Assistance Program (FAP) - [Click Here](https://www.henrymayo.com/app/files/public/20d39782-b017-48fa-b4af-e043d2ef3bd4/Financial%20Assistance%202024%20Final.pdf) Programa de Asistencia Financiera en Español - [Clic Aqui](https://www.henrymayo.com/app/files/public/f7efee72-f823-4182-9230-4004b12caeb6/Financial%20Assistance%202024%20Final_Spanish.pdf)"

documented · checked 2026-10-13 · Help Paying Your Bill

coverage.facilitiesHenry Mayo Newhall Hospital

"Henry Mayo Newhall Hospital (HMNH) offers financial assistance to patients who are uninsured (self pay) or insured patients with high medical costs."

documented · checked 2026-10-13 · Help Paying Your Bill

Sources

Financial Assistance 2024 Final.pdf — fetched 2026-10-13

Help Paying Your Bill — fetched 2026-10-13

Financial Policies | Henry Mayo Newhall Hospital — fetched 2026-10-13

Billing, Insurance and Financial Assistance — fetched 2026-10-13

requested documents — fetched 2026-10-13

Billing and Insurance — fetched 2026-10-13

Help Paying Your Bill — fetched 2026-10-13

Accepted Insurance — fetched 2026-10-13