Billing, Insurance & Payment

Plain Language Summary of Financial Assistance Policy

Notice to our Patients and Families:

Thank you for choosing Valley Presbyterian Hospital for your hospital services. Our hospital requests payments for services upon discharge from the hospital. A representative from our Patient Access Services (PAS) department will notify you of your estimated financial obligation, such as insurance co-payments or self-pay responsibility. This will be addressed and collected during pre-registration, if scheduled, or during your hospital stay at Valley Presbyterian Hospital.

For patients who do not have insurance coverage, there are alternative funding and payment plan options offered by our hospital. Our PAS department will work with you to identify the best payment option based on government or hospital rules and regulations.

This packet is designed to provide you information regarding alternate funding and payment plans offered by our hospital. The following is an overview of the financial assistance programs provided by our hospital. Our Financial Assistance Policy, application form, and Plain Language Summary are all available in English and Spanish.

Medi-Cal and Government Programs

The Medi-Cal Eligibility Program is a hospital service provided to you at no cost. You may qualify for California Health Benefits Exchange (Covered California) or other government programs which pay for all or part of your hospital expenses. You will be given information upon registration regarding the available plans.

Charity Care Financial Assistance Program

The Hospital will continue to pursue financial recovery options from third party payers even after all charity write offs are applied. Patients will not be billed after any 100% charity write off, though may be notified of collection activities involving third party payers. A Financial Assistance Program is available to patients that do not have the means to pay for hospital expenses and do not qualify for any Medical Eligibility Programs. You may qualify if your gross household income falls at or below 350% of the federal poverty level or medical expenses exceed 10% of your annual household income. To be considered for the Financial Assistance Program, you will be required to provide information on your household finances through a confidential Financial Application. You must submit the required documentation within 15 days of receipt of the application. Documentation will be requested to verify your circumstances. A FAP-eligible individual can’t be charged more than the amounts generally billed (AGB) for emergency or other medically-necessary care. Please reference the attached policy and application for additional information and requirements. While the FAP does not apply to physician services, patients should be aware that the Emergency Room physicians of this and every other California hospital must provide discounted care consistent with California’s Emergency Physician Fair Pricing Policies Law for eligible patients with family incomes at or below 350 percent of the FPL. Copies of the free Financial Assistance Application can be obtained at the Cashiers’ office or Financial Counselors’ office at the hospital, 15107 Vanowen St., Van Nuys, California 91405, or on this website. For more information regarding the Financial Assistance Program, or to have the information mailed to you, please contact the Financial Counselors’ office at 818.902.5125.

Click here to download in English. Click here to download in Spanish. Print and fill out. You must submit the required documentation within 15 days of receipt of the application. Documentation will be requested to verify your circumstances.

Uninsured Discount Rate

All Uninsured patients are eligible for discounts. The discount is similar to rates paid by Medicare and is offered to you under our Uninsured Discount Program.

In addition three maternity plans are available. Normal Delivery: Up to a 2 day stay - $3000; C- Section: Up to a 3 day stay - $5000; C-Section: 4 day stay - $ 6500 – Each additional day for a Normal Delivery or C-Section is $2000/day; Additional OB Nursery days are $600/day.

If during the admission, you choose to have a circumcision completed on your child, it is included in the maternity plan. If a decision is made to perform the procedure on an outpatient surgery basis, the cost will be calculated based upon the above referenced calculation for outpatient uninsured discounted rates.

Billing and Payment Plans

If you do not qualify for state assistance or any of our financial assistance programs, you may establish payment arrangements with our financial counselor. Payment arrangements may be made with no interest penalties. Defaulting on your payment plan disqualifies you from taking advantage of this option. You may receive bills from other billing companies for physician charges, radiology, ambulance, etc. For assistance regarding policy, questions or disputes of your hospital bill, please contact the Business Office at 818.902.2913.

Nonprofit credit counseling service may be available in your area.

Estimate of Charges

In accordance with California law, a written or electronic copy of the charge master is available at the cashier’s office for medical procedures and services, or you may call 818.902.2913, Monday through Friday, 8 a.m.to 4 p.m.