# Community Memorial Hospital - Ventura

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

Community Memorial Hospital - Ventura likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount 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.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays $0 (charity write-off)
- 201% to 300% of poverty level, patient pays Medicare rates; Schedule 2 says 25% of charges or the Medicare DRG for inpatient care, whichever is less
- 301% to null% of poverty level, patient pays 40% of charges or the Medicare DRG, whichever is less

## How to apply

- Call (805) 948-5615 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=978a3a2c-f433-4794-97e8-bf6adb4761d7)
- [Financial Assistance Policy HS-FIN303 (on file with HCAI, effective 09/23/2026)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=acd7c53a-df6a-478a-8e7e-86cad9bce741)
- 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 most recent pay stubs, including public assistance such as Social Security, unemployment, or disability, rent or mortgage verification if asking for a discount payment plan, optional prior year tax return.

## 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. Emergency, outpatient, and inpatient hospital services at Community Memorial Hospital Ventura and Community Memorial Hospital Ojai

Not covered. Independent doctors, radiologists, pathologists, anesthesiologists, emergency doctors, and ambulance services bill separately and are not covered. Community Memorial Health Centers clinics are not covered. Some services, such as elective surgery and cosmetic surgery, may not qualify for charity care but may get a discount if medically necessary.

## 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 200% of the poverty level. From 201% to 300% the bill is cut to Medicare rates. Above 300% the policy's schedule says you pay 40% of charges or the Medicare DRG amount, whichever is less, and it lists no upper income limit. The policy's tables do not all agree. Attachment A says 201% to 300% pays Medicare rates, while Schedule 2 says 25% of charges or the Medicare DRG for inpatient care, whichever is less. The dollar amounts printed for the 301% to 700% schedule match 400% of the poverty level. Insured patients can get help with coinsurance and deductibles. The policy does not say whether savings are counted, and it does not set a deadline. You do not need a Medi-Cal application, but a Medi-Cal screening is recommended. A decision comes within 30 days of a complete application. Appeals go in writing within 30 days of a denial to Community Memorial Healthcare Business Office, Attn: Financial Assistance, 5855 Olivas Park Drive, Ventura, CA 93003. For billing questions, call the Business Office at (805) 948-2801.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=acd7c53a-df6a-478a-8e7e-86cad9bce741
  > 200% of Poverty Guidelines Equals Charity Write Off No
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=acd7c53a-df6a-478a-8e7e-86cad9bce741
  > 301%-700% and above Poverty Guidelines Equals a 40% of
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=acd7c53a-df6a-478a-8e7e-86cad9bce741
  > Patients with insurance may receive help with the remaining coinsurance or deductible after insurance pays.
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=acd7c53a-df6a-478a-8e7e-86cad9bce741
  > It does not cover services from independent providers, such as physicians, radiologists, or anesthesiologists, who send their own bills.
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=978a3a2c-f433-4794-97e8-bf6adb4761d7
  > A copy of your most recent period payroll check stubs.
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=978a3a2c-f433-4794-97e8-bf6adb4761d7
  > If you have any questions, please telephone me directly at 805-948-5615 for assistance.

Last checked 2026-11-10.

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