BANNER LASSEN MEDICAL CENTER
SUSANVILLE, CA · version 1 · published · JSON
eligibility.free_care_max_fpl200% of the federal poverty level"< 200% of FPL 100% discount off AGB 100% discount off BAI"
documented · checked 2026-10-10 · Banner Lassen Medical Center Financial Assistance Policy ...
eligibility.discount_tiersAbove 200% up to 300% of FPL: 75% discountAbove 300% up to 400% of FPL: 50% discount
"< 200% of FPL 100% discount off AGB 100% discount off BAI 200% - 300% FPL 75% discount off AGB 75% discount off BAI > 300% - 400% FPL 50% discount off AGB 50% discount off BAI"
documented · checked 2026-10-10 · Banner Lassen Medical Center Financial Assistance Policy ...
eligibility.insured_patients_coveredYes"Underinsured Patients have insurance but face financial hardship due to high deductibles, co-pays, or co-insurance."
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
apply.documents_requiredProof of incomeTax return
Pay stubs
"Proof of Income – required. Acceptable documents include: 1. If currently employed, copies of 3 most recent payroll stubs for Patient, Applicant (if not patient), and Spouse/Partner, if they occurred within a 6-month period before or after the patient was first billed by the Hospital. 2. If Self-employed or unemployed, a copy of income tax returns for the year in which the patient was first billed or 12 months prior to when the Patient was first billed by the Hospital."
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
apply.submit_methodsMail: Banner Health c/o PBM, PO Box 743711, Los Angeles, CA 90074-3711Email: BannerFAAApplications@bannerhealth.com
"Instructions - Please fill in all fields, attach the required documentation, and send to Banner Health c/o PBM, PO Box 743711, Los Angeles, CA 90074-3711 or BannerFAAApplications@bannerhealth.com"
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
collections.eca_wait_days180 days"BH , under BH ’s Patient Financial Services operating unit ’s authority , may take any and all legal actions , including Extraordinary Collections Actions (" ECAs "), to obtain payment for services provided where payment has not been made as of 180 days past the date of the first billing statement for those services (the "Notification Period ")."
documented · checked 2026-10-10 · Banner Lassen Medical Center Financial Assistance Policy ...
contacts.phone(888) 264-2127"You can also request copies by mail or get help by calling Banner Patient Financial Services at (888) 264-2127, where staff can assist with applications and connect you to additional resources."
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
contacts.hours6:00 AM to 10:00 PM"If you need help in another language, please call 888-264-2127 from 6:00 AM to 10:00 PM or visit the Banner Lassen Medical Center information desk located at 1800 Spring Ridge Drive, Susanville, CA 96130."
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
contacts.languagesEnglishSpanish
"Free copies of Banner Health’s financial assistance, billing, and collections policies— as well as application forms —are available in Spanish and English at BannerHealth.com."
documented · checked 2026-10-10 · Banner Lassen Financial Assistance Program for Discount ...
Sources
Banner Lassen Financial Assistance Program for Discount ... — fetched 2026-10-10
Plain Language Summary — fetched 2026-10-10
Banner Lassen Medical Center Financial Assistance Policy ... — fetched 2026-10-10
Banner Health Financial Assistance Policy for Hospital ... — fetched 2026-10-10
Amounts Generally Billed (AGB) Calculation Summary - English — fetched 2026-10-10
Spanish — fetched 2026-10-10
Help Paying Your Bill — fetched 2026-10-10