Adventist Health Clearlake: financial assistance and charity care

Adventist Health Clearlake in Clearlake is covered by California's Hospital Fair Pricing Act. If your household earns at or below 400% of the Federal Poverty Level (in 2026, $63,840 for one person or $132,000 for a family of four), it must offer you free or discounted care. We can check your eligibility and apply to Adventist Health Clearlake for you, at no cost.

Check My EligibilitySee How It Works

What Adventist Health Clearlake's policy says

Who qualifies: 0-200% FPL: 100% discount. 201-300% FPL: 50-75% discount on the AGB rate. 301-400% FPL: 75-100% discount. Above 400% FPL: no discount under this policy, though insured patients with high medical costs (>10% of household income) may still qualify under a separate table.

What it asks for:

  • Recent pay stubs from within 6 months of first bill, OR
  • Federal income tax return (Form 1040) for patient and spouse/domestic partner
  • Self-declaration of income is accepted if the above are unavailable

Adventist Health Clearlake follows the Adventist Health financial assistance policy, shared with 23 other California hospitals.

From the hospital's own filings, last checked September 22, 2026. Hospitals can change their policies; the hospital's current policy is what counts.

Hospital
Adventist Health Clearlake
15630 18th Ave
Clearlake, CA 95422
Lake County

Let us apply for you — free

  1. Answer four questions to check your eligibility. It takes about a minute.
  2. Send us the bill and one proof of income. A phone photo is fine.
  3. We build the application for Adventist Health Clearlake and send it to the hospital for you.
  4. We follow up until you have a decision in writing.
Check My Eligibility

Other Adventist Health hospitals

Other hospitals in Lake County

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