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Pomona Valley Hospital Medical Center — Financial Assistance & Charity Care
Pomona, Los Angeles County, CA
Under California law (the Hospital Fair Pricing Act), Pomona Valley Hospital Medical Center 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?
Pomona Valley Hospital Medical Center 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 |
What you'll need to apply
- Completed & signed financial assistance application
- Recent pay stubs (within six months before or after first billed; for care not yet provided, within six months of application submission)
- OR recent income tax return (showing family income for year first billed or the 12 months before first billed)
- If unable to provide pay stubs or tax returns, other proof such as signed employer letter, government program approval/denial letter, written declaration, or verbal statement may be accepted (not required)
How to apply
📞 909-865-9100When you call, say: “I'd like to apply for financial assistance (charity care) for a hospital bill. Can you send me the application and tell me which documents I need?”
Based on this hospital's policy effective 05/24/2026.
Not sure if you qualify?
Answer 3 quick questions and get a personalized plan plus a ready-to-send request letter — free, in your language.
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