Hoag Memorial Hospital Presbyterian
Nonprofit acute care hospital in Newport Beach, CA.
Verified from the hospital's own policy
Hoag Memorial Hospital Presbyterian 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.
| People in household | Free care up to | Discount 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 |
Discount steps
- 0% to 200% of poverty level, you pay $0 (Full Financial Assistance), uninsured or insured
- 201% to 400% of poverty level, you pay Uninsured: 50% of what Medicare would pay. Insured: $0 if insurance paid more than Medicare would, otherwise the normal insurance share. Non-covered services: Medicare or Medi-Cal rate
How to apply
- Call (949) 764-8400 and ask for financial assistance.
- Application form
- Financial Assistance Program Policy (FAP), effective 8/7/2026
- Bring two pay stubs for each wage earner, or a 1040 tax return for the year first billed or the 12 months before, with all schedules, copy of most recent rent check, lease, or mortgage payment (or a written statement from whoever provides room and board).
- 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.
- Savings and property
- The policy looks at income only, not savings or property.
- Very large bills
- Insured patients whose out-of-pocket costs at the hospital in a year exceed 10% of family income; catastrophic bills reviewed case by case
- Languages
- English, Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese
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
- Medically necessary care at Hoag hospitals. Emergency doctors and some listed physicians offer discounts too.
- Not covered
- Services that are not medically necessary, cosmetic services, and the Hoag for Her Center for Wellness are excluded. Medi-Cal share of cost is not written off.
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 200% of the poverty level, whether or not you have insurance. From 201% to 400% with no insurance, you pay 50% of what Medicare would pay. From 201% to 400% with insurance, Hoag writes off your share if your insurer paid more than Medicare would. If not, you pay your normal insurance share. If your insurance does not cover a service, you pay the Medicare or Medi-Cal rate. Insured patients whose out-of-pocket costs at Hoag top 10% of family income may also get help. Hoag can give help for catastrophic bills case by case. Applications are accepted at any time. If yours is incomplete, you get 30 days to finish it. You get a written decision within 30 days. Approval lasts 6 months. Disputes go to the Executive Director of Revenue Cycle, 2975 Red Hill Avenue, Suite 200, Costa Mesa, CA 92626, or PFS@hoag.org. The phone number is Hoag Patient Financial Services. Financial counselors are at 949-764-5564 or FC@hoag.org. Medi-Cal share of cost is never written off. Patients who pay cash can get 35% off without applying. The policy is dated 8/7/2026. HCAI lists it with an effective date of 08/07/2026.
Sources
- Free care level
Free care is offered to patients with family income of 200% or less of FPL
- Discount level
discounted care is offered to patients with family income of 201% to 400% of FPL.
- Discount steps
obligation will be a 50% of the gross amount the
- Insured patients
as well as patients who do have insurance, but are unable to pay their portion of the bill that insurance does not cover.
- Asset test
Based on income alone, without consideration of monetary assets, patients may be eligible for either charity care
- Very large bills
under-insured patients whose annual out of pocket cost incurred by the individual at the hospital that exceed the lesser of 10 percent
- Documents
Two (2) pay stubs for each wage earner, or a 1040 tax return for the year in which the patient was first billed
- What is not covered
If service deemed not medically necessary; cosmetic, Hoag for Her Center for Wellness
- Languages
are available in other languages, including Arabic, Chinese, Farsi, Korean, Spanish and Vietnamese.
- Financial counseling phone
If you have questions or want to talk about your account, please call 949-764-8400.
- Facility list
This policy applies to Hoag Memorial Hospital Presbyterian and its wholly owned subsidiaries, and Hoag Orthopedic Institute
Last checked. 2026-11-10
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