# Aurora Vista del Mar Hospital

Hospital in Ventura, CA. Verified from the hospital's own policy.

Aurora Vista del Mar Hospital likely gives free care to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6. We have not found a discount for incomes above the free care level.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $63,840 | not found |
| 2 | $86,560 | not found |
| 3 | $109,280 | not found |
| 4 | $132,000 | not found |
| 5 | $154,720 | not found |
| 6 | $177,440 | not found |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 400% of poverty level, patient pays $0 (uninsured patients; insured patients with high medical costs get their share written off)
- 401% to null% of poverty level, patient pays billed charges minus 40% for inpatient or minus 20% for outpatient (patients with no insurance who are not approved for financial assistance)

## How to apply

- Call (805) 653-6434 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=8321af26-de47-4494-ae96-469addb84f81)
- [Billing and Collections Policy (effective January 1, 2024), filed as the charity care and discount payment policy](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4)
- We do not have the deadline yet. Apply as soon as you get a bill, and ask the billing office to pause collections while you apply.
- Bring recent pay stubs or income tax returns.
- Very large bills. Insured patients with income at or below 400% of the poverty level and medical costs in the past 12 months, at this hospital or elsewhere, over 10% of family income. Insured patients who use up their benefits during a stay and have income at or below 400% also qualify.

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Hospital services at Vista del Mar. Insured patients with high medical costs, or who run out of benefits during a stay, can also get help.

Not covered. Physicians, ambulance services, and other medical professionals who are not hospital employees bill separately and are not part of the hospital bill.

## State program in California

### Hospital Fair Pricing Act (Health and Safety Code 127400 et seq.)

Every licensed general acute care, acute psychiatric, and special hospital in California must have a charity care policy and a discount payment policy. A patient can ask for help if they are uninsured (self-pay) or have high medical costs, and their family income is not more than 400% of the federal poverty level. Hospitals may choose to help people with higher incomes. With a discount, the bill is capped at about what Medicare or Medi-Cal would pay, whichever is greater. You can apply at any time, even after a bill goes to collections. Immigration status does not affect eligibility.

Income levels in the program are discount up to 400% of poverty level.

Applies to each licensed general acute care hospital, acute psychiatric hospital, and special hospital in California.

How to apply. Apply to the hospital's financial assistance office. Each hospital's policies and applications are posted on its website and on HCAI's Hospital Fair Pricing Policy Lookup (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-fair-pricing-policy-lookup/).

> Is a self-pay patient OR a patient with high medical costs; AND Patient's family income is not more than 400 percent of the federal poverty

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/frequently-asked-questions/, checked 2026-11-10

### Hospital Bill Complaint Program (HCAI)

A free state program at HCAI. If a hospital wrongly denied you financial assistance, did not tell you about its programs, or sent you to collections the wrong way, you can file a complaint online (English and Spanish) or by mail (many languages). You must have applied to the hospital first for HCAI to review an eligibility decision. If HCAI finds you paid too much, the hospital must refund you within 30 days. It covers problems on or after January 1, 2022. It does not handle general billing disputes, price transparency, Good Faith Estimates, or bills from emergency room doctors.

Applies to complaints about any hospital covered by the Hospital Fair Pricing Act.

How to apply. File online through the Patient Complaint Portal (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/should-i-file-a-complaint/) or mail the Patient Complaint Form to Department of Health Care Access and Information, Hospital Bill Complaint Program, 2020 West El Camino Avenue, Suite 1101, Sacramento, CA 95833.

> If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program.

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/, checked 2026-11-10

### Emergency physician discount rule

Most hospital policies cover only the hospital's own bill. Emergency room doctors often bill separately. California law also requires an emergency physician to give discounts to uninsured patients and patients with high medical costs whose family income is at or below 400% of the federal poverty level. Ask the doctor group's billing office for its discount policy. HCAI's complaint program does not handle emergency doctor bills.

Income levels in the program are discount up to 400% of poverty level.

Applies to emergency physicians who provide emergency medical services in a California hospital that provides emergency care.

How to apply. Ask the emergency physician group named on the bill for its discount payment policy.

> an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounted care

Source https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=c7bdd7eb-bcc0-4a84-bcab-a21b5e578d9c, checked 2026-11-10

## Notes

Free care at or below 400% of the poverty level if you have no insurance. If you have insurance, income at or below 400%, and high medical costs or used-up benefits, you can also get help. The policy summary has no partial discount, so the discount limit shown is the same 400% free care limit. Patients with no insurance who are not approved get 40% off inpatient charges or 20% off outpatient charges. That discount has no income cap. The newest file the state lists as this hospital's charity care and discount policy (effective 09/02/2025) is only the one-page application form. The state still lists the hospital's Billing and Collections Policy (01/01/2024), and the facts here come from the summary of financial assistance inside it. That summary does not say whether assets count. It says copies are available in multiple languages but does not name them. Patient Financial Services is at (805) 653-6434, Monday to Friday, 8am to 5pm. You can also email avm.bo@aurorabehavioral.com. Mail goes to 801 Seneca St., Ventura, CA 93001.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > for any portion of their medical expenses and have a family income at or below 400% of the federal poverty level.
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > Patients who are covered by insurance but have (i) family income at or below 400% of the federal poverty level; and
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > Standard Uninsured Discount is a 40% reduction of Billed Charges for inpatient services and 20% reduction of Billed Charges for outpatient services.
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > Patients who are covered by insurance but exhaust their benefits either before or during their stay at the hospital
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > paid to other providers in the past 12 months) that exceed 10% of the patient’s family income.
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > from physicians, ambulance services, or other medical professionals who are not employees of
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=8321af26-de47-4494-ae96-469addb84f81
  > may only request recent paystubs or income tax returns for documentation of income.
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=723516f9-b538-4744-a5ec-d66c5defaab4
  > telephone number is 805-653-6434. Our telephone hours are 8:00 A.M. to 5:00 P.M., Monday

Last checked 2026-11-10.

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