# Plumas District Hospital

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

Plumas District Hospital likely gives free care to households with a yearly income up to $22,025 for 1 person, $29,863 for 2, $37,702 for 3, $45,540 for 4, $53,378 for 5 or $61,217 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 | $22,025 | $63,840 |
| 2 | $29,863 | $86,560 |
| 3 | $37,702 | $109,280 |
| 4 | $45,540 | $132,000 |
| 5 | $53,378 | $154,720 |
| 6 | $61,217 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 138% of poverty level, patient pays $0
- 139% to 175% of poverty level, patient pays 50% of charges (50% discount)
- 176% to 225% of poverty level, patient pays 60% of charges (40% discount)
- 226% to 400% of poverty level, patient pays 70% of charges (30% discount)

## How to apply

- Call (530) 283-7400 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=77441c8a-53c3-45f7-b483-8e0b91f9ec53)
- [Charity Care Policy and Procedure, and Discount Payment Policy and Procedure (effective date printed as "November __, 2025", HCAI effective date 06/21/2026)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd)
- 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 income tax return or W-2 from the previous year, or pay stubs from the last three months, proof of medical expenses paid in the past 12 months (for high medical cost patients).
- Savings and property. The policy looks at income only, not savings or property.

## 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 Plumas District Hospital. Clinic services are not part of these policies.

Not covered. These policies apply to hospital services only, not clinic services.

## 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 138% of the poverty level, for uninsured patients and for insured patients with high medical costs. From 139% to 400%, you get 30% to 50% off, and you never pay more than Medicare or Medi-Cal would pay. Above 400% there is no discount. High medical costs means you paid more than 10% of your income on medical bills in the past 12 months. Savings are not counted. One application covers both programs. Decisions come within 10 business days. The application letter asks you to return it within 30 days. Discount approvals must be renewed each calendar year. Payment plans are interest-free. The hospital says it never reports patients to credit bureaus. Appeals go in writing to the Revenue Cycle Director. The policy on file has a blank effective date ("November __, 2025").

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd
  > Charity Care under this policy will be offered to patients whose Family Income is at or below 138% of the most FPL
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=d58d0913-bf94-414d-bfd7-6d94b115a3bf
  > Discount Payment under this policy will be offered to patients whose Family Income is between 139% and 400% of the most recent FPL
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=d58d0913-bf94-414d-bfd7-6d94b115a3bf
  > Up to 138% FPL 139%–175% FPL 176%–225% FPL 226%–400% FPL
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd
  > They are an insured patient who meets the definition of High Medical Cost Patient
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd
  > Monetary assets will not be considered when determining eligibility under this policy.
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd
  > This policy applies to all patients receiving hospital (not clinic) services
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=fa78007b-3ff6-486e-bb60-bb20861d91fd
  > A current W-2 form or income tax return from the previous year, or
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=77441c8a-53c3-45f7-b483-8e0b91f9ec53
  > Patient Financial Counselors (530) 283-7400

Last checked 2026-11-10.

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