# Mayers Memorial Hospital

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

Mayers Memorial Hospital likely gives free care to households with a yearly income up to $11,970 for 1 person, $16,230 for 2, $20,490 for 3, $24,750 for 4, $29,010 for 5 or $33,270 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 | $11,970 | $63,840 |
| 2 | $16,230 | $86,560 |
| 3 | $20,490 | $109,280 |
| 4 | $24,750 | $132,000 |
| 5 | $29,010 | $154,720 |
| 6 | $33,270 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 75% of poverty level, patient pays $0 (charity care, uninsured only, countable assets $5,000 or less)

## How to apply

- Call (530) 336-5511 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7b0df505-2584-4a19-9765-54cb71b6365c)
- [Charity Care Policy (board approved 12/7/2022; on file with HCAI 08/03/2026)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e)
- 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 proof of Medi-Cal non-coverage for the date of service, current W-2 or last year's tax return, or pay stubs from the past three months, most current bank statement and statements on all monetary assets, signed release to verify assets, Medicare Secondary Payer questionnaire.
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. Patients up to 400% of the poverty level whose out-of-pocket medical costs in the past 12 months are over 10% of family income can apply for charity care

## 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 services at Mayers Memorial Healthcare District.

## 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

This policy is old. It was approved in 2022 and it is the newest one on file with the state. It still counts savings and other assets, which California has barred since 2025. Free care is only for uninsured patients at or below 75% of the poverty level whose countable assets are $5,000 or less. Retirement plans, the first $10,000 of assets, and half of the rest are not counted. Patients up to 400% of the poverty level with high medical costs can apply for charity care too. The policy says denied patients may get help from a separate Discount Payment Program, but the rules for that program are not in any file on record with the state, so we do not know its income limit. The application cover letter says to return the application with papers within 30 days of getting it. Applications are decided within 10 business days. Send it to the Financial Counselor, PO Box 459, Fall River Mills, CA 96028, by fax at 530-336-7335, or by email to acollins@mayersmemorial.com. No phone number for financial help is printed in the filed documents. Homeless patients and patients who died with no estate can get charity care. Disputes go to the Business Office Manager.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > The patient's household income does not exceed 75% of the Federal Poverty Level
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > If your household income is less than 75% US Poverty Level amount, your income supports your eligibility for Charity Care.
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > or have incurred high medical costs will be offered to complete a Charity Care application by the Financial Counselor.
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > The patient's allowable monetary assets do not exceed $5,000
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > A patient whose family income does not exceed 400% of the federal poverty level and their annual out-of-pocket medical expenses
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > Most current bank statement, and any additional information or statements on all monetary assets
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=385502c5-3e0a-432b-8004-ac99f7b0961e
  > Pay stubs from the previous three months

Last checked 2026-11-10.

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