Waive

KAISER FOUNDATION HOSPITAL MANTECA

MANTECA, CA · version 1 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Federal Poverty Level Guidelines Financial Assistance Discount From To 0% - 200% 100% Discount (Full)"

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

eligibility.asset_testNo

"Assets are not considered income."

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

apply.documents_requiredTax return
Pay stubs

"Information submitted by patients for MFA eligibility determinations (e.g., recent paystubs or tax returns) will not be used for collection activities."

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

apply.window_days_from_first_bill240 days

"The patient has been provided at least 240 days from the first billing statement to apply for MFA."

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

apply.decision_days30 days

"A patient is notified in person, by mail, or by telephone if required information received is incomplete. The patient may submit the missing information within 30 days from either: the date the notice was mailed, the in-person conversation took place, or the telephone conversation occurred."

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

contacts.phone1-800-390-3507

"Counselors can be reached at: Telephone: 1-800-390-3507"

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

coverage.facilitiesKFH Manteca

"Kaiser Foundation Hospitals in Northern California include: KFH Antioch KFH Fremont KFH Fresno KFH San Leandro KFH Manteca KFH Modesto KFH Oakland KFH Richmond KFH Roseville KFH Redwood City KFH Sacramento KFH Santa Clara KFH San Francisco KFH San Jose KFH San Rafael KFH Santa Rosa KFH South Sacramento KFH South San Francisco KFH Vacaville KFH Vallejo KFH Walnut Creek"

documented · checked 2026-10-13 · POLICY TITLE Medical Financial Assistance

Sources

POLICY TITLE Medical Financial Assistance — fetched 2026-10-13

Medical Financial Assistance | Kaiser Permanente — fetched 2026-10-13