California Pacific Medical Center

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Charity Care Program

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The Physician Foundation at California Pacific Medical Center (PFCPMC) has a financial assistance program for PFCPMC patients who are uninsured and low income who may not be able to pay their bill.

Patients who submit an application and are approved may be eligible for full or partial write-off of charges.

Our Charity Care Program is designed to:

  • Provide charity care to uninsured patients earning up to 400% of the Federal Poverty Income Guideline.

  • Provide catastrophic protection to low income uninsured patients by limiting their liability to 30% of their annual household income.

    Apply for Charitable Support

    To apply for financial support through Physician Foundation at California Pacific Medical Center:

  • Please complete the Financial Support Application. (Note: You may also receive this application by calling 800-470-0071.)

  • Attach the following:
    1. Your two most recent paycheck stubs
    2. Your two most recent bank statements (all accounts)
    3. Your most recent tax return

  • Mail the packet to:
    Physician Foundation at California Pacific Medical Center
    PO Box 254707
    Sacramento, CA 95865-4707

    Your Confidentiality is Guaranteed

    Confidentiality of information and individual dignity will be maintained for all who seek charitable services.

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    @ 2008 Physician Foundation California Pacific Medical Center. All rights reserved.