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Eligibility:
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Bill must be from Pomona Valley Hospital Medical Center
Income must fall within federal poverty guidelines
Must be receiving non-elective, medically necessary care
Must have exhausted all other sources of payment including insurance, litigation, or third-party liability
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Languages:
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ASL interpreter available by request, Translation services available, Spanish, English
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Application Process:
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Application required, must be mailed with supporting documents
Call for more information
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Payment methods:
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No fee
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Documents Required:
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Proof of Income (Pay stubs, award letters, etc.)
Tax Returns, Bank Statements, and 1099's may be needed for those seeking full charity
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