Financial Assistance Policy – Plain Language Summary

Mountains Community Hospital (MCH) offers financial assistance through its Charity Care Discount Payment Policy to patients unable to pay for inpatient and outpatient services that are medically necessary.  MCH’s Charity Care Discount Payment Policy applies to Hospital charges only.  The Emergency Room Physicians and Radiologists are separate from MCH; therefore, MCH’s policy does not apply to their Professional Fees.

Eligibility Information

Uninsured Patients

Uninsured patients with family income at or below 200% of the current Federal Poverty Level (FPL) may qualify for full charity care (free care).  If an uninsured patient’s family income is between 201% and 400% of the current FPL guidelines, they may qualify for partial charity care based upon a sliding scale.

Insured Patients

If an insured patient’s family income is between 0% and 400% of the current FPL, the patient may qualify for partial charity care based upon a sliding scale.

How to Apply for Financial Assistance

Below are the links for MCH’s Charity Care Discount Payment Policy and Application.  You must submit proof of income documents with your application.

Charity Care and Discount Payment Policy
Charity Care Application
Charity Care Application Spanish

Contact information for MCH Eligibility Office.  MCH Eligibility Office is available to assist you with Financial Assistance.

MCH Eligibility Office Phone Numbers

Sherry Cowan (909) 336-3651 extension 3535

Gala Artiaga (909) 436-3251

Elizabeth Zuniga (909) 436-3061 (Spanish Speaking)

MCH Eligibility Office Address

29099 Hospital Road, Suite 103

Lake Arrowhead, CA 92352

Hospital Bill Complaint Program

The Hospital Bill Complaint Program is a state program that reviews hospital decisions about whether you qualify for help paying your hospital bill.  If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program.  Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.

Help Paying Your Bill

There are free consumer advocacy organizations that will help you understand the billing and payment process. You may call the Health Consumer Alliance at 888-804-3536 or go to healthconsumer.org for more information.

Help in Your Language

If you need help in your language, or in an alternative format (such as large print, braille, audio, or via other accessible formats), please call or visit the MCH Eligibility Office.  See contact information for MCH Eligibility Office above.  They can conference in our language translation partners.