Adventist Health White Memorial Montebello：經濟援助與慈善醫療

Adventist Health White Memorial Montebello 的政策內容

政策詳情以英文原文引用自醫院自己的申報文件。

誰有資格： 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.

需要提供：

• 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 White Memorial Montebello 採用 Adventist Health 的經濟援助政策，另有 23 家加州醫院共用此政策。

資料來自醫院自己的申報文件，最後查核日期為 2026年9月22日。醫院可能會更改政策；以醫院現行的政策為準。