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Children'S Hospital At Mission — Financial Assistance & Charity Care
Mission Viejo, Orange County, CA
Under California law (the Hospital Fair Pricing Act), Children'S Hospital At Mission must offer free or discounted care to patients who can't afford their bills. Here's who qualifies and how to apply — you can apply even if your bill already went to collections.
Do you qualify for FREE care?
Children'S Hospital At Mission provides free (charity) care to patients at or below 400% of the Federal Poverty Level. If your yearly household income is at or below the amount for your household size, you likely qualify for 100% free care:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $63,840/yr | 100% free care |
| 2 people | $86,560/yr | 100% free care |
| 3 people | $109,280/yr | 100% free care |
| 4 people | $132,000/yr | 100% free care |
| 5 people | $154,720/yr | 100% free care |
| 6 people | $177,440/yr | 100% free care |
| 7 people | $200,160/yr | 100% free care |
| 8 people | $222,880/yr | 100% free care |
Discounted care
Patients up to 550% of the Federal Poverty Level qualify for discounted care — you'd owe no more than the amount generally billed to insured patients:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $87,780/yr | discounted care |
| 2 people | $119,020/yr | discounted care |
| 3 people | $150,260/yr | discounted care |
| 4 people | $181,500/yr | discounted care |
| 5 people | $212,740/yr | discounted care |
| 6 people | $243,980/yr | discounted care |
| 7 people | $275,220/yr | discounted care |
| 8 people | $306,460/yr | discounted care |
What you'll need to apply
- Completed Financial Disclosure statement/worksheet
- Prior year tax returns (preferred)
- W-2 Forms
- Current pay stubs
- Other documents to determine annual family income
How to apply
Based on this hospital's policy effective 10/03/2025.
Not sure if you qualify?
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