Foothill Regional Medical Center
Acute care hospital in Tustin, CA.
Verified from the hospital's own policy and the state program
Foothill Regional Medical Center likely gives free care to households with a yearly income up to $39,900 for 1 person, $54,100 for 2, $68,300 for 3, $82,500 for 4, $96,700 for 5 or $110,900 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.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | $39,900 | $63,840 |
| 2 | $54,100 | $86,560 |
| 3 | $68,300 | $109,280 |
| 4 | $82,500 | $132,000 |
| 5 | $96,700 | $154,720 |
| 6 | $110,900 | $177,440 |
Discount steps
- 0% to 250% of poverty level, you pay $0 (100% of the bill written off as charity care)
How to apply
- Call (562) 293-3200 and ask for financial assistance.
- Application form
- PA.35 Charity Care Policy (revised 09/02/2026)
- Bring a completed financial assistance application, three months of pay stubs or a federal income tax return, a notarized letter explaining how you get by if you report no income.
- 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.
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, urgent, and medically necessary hospital care, including what insured patients owe after insurance.
- Not covered
- Doctors who practice at the hospital are not covered. Contact the doctor's office for help with their 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.
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
Program source, 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.
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.
Program source, 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.
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
Program source, checked 2026-11-10
Notes
Free care at or below 250% of the poverty level, for people with no insurance and for what insured people owe after insurance. The filing says it is both the charity care and the discount payment policy, but it only sets the free care rule. It points to separate Low-Income Financial Assistance and Self-Pay policies for discounts, and those were not filed, so the discount limit is unknown here. Other uninsured patients may get a self-pay discount case by case. The policy does not say whether savings are counted and sets no deadline. You get a letter within 45 days of sending all papers, and the application says 30 days. Disputes go to the Chief Financial Officer. Mail applications to Foothill Regional Medical Center, Attention Patient Financial Services, 9542 Artesia Blvd, Bellflower, CA 90706. That address and the 562 phone number are in Bellflower, not Tustin where the hospital is, so they may be a shared billing office. Patients with Medi-Cal get full help automatically.
Sources
- Free care level
Patients may be eligible for Charity Care if their household income is no more than 250% of the Federal Poverty Level
- Discount steps
Qualified patients receiving Charity Care will have 100% of their bill written off
- Insured patients
as well as the patient liability for patients with insurance, including charges determined uninsured for the hospital stay, coinsurance, copayment, deductible amounts
- What is not covered
Physicians who practice at Foothill Regional Medical Center are not included in this policy.
- Documents
3 months' pay stubs within date of service or ii. Federal Income Tax Return
- Documents
If you report $0 income, please provide a notarized letter of how you (or the patient) are surviving financially
- Financial counseling phone
including language assistance, by calling our Patient Financial Services at 562-293-3200, Monday through Friday, 8 a.m. to 4:30 p.m.
Last checked. 2026-11-10
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