Palo Verde Hospital — 经济援助与慈善医疗

减免医疗

收入在联邦贫困线 250% 或以下的患者符合减免医疗的条件——您需要支付的金额不会超过通常向有保险患者收取的金额：

申请时您需要准备的材料

• Application provided by the hospital
• Pay-check stubs for the previous 90 days
• W2 Form for the prior year
• Proof of unemployment, disability, general assistance, child support, bank statements and yearly tax form
• If self-employed, a profit and loss statement with tax returns

如何申请

基于这家医院的政策，生效日期为 11/06/2025。