# Trinity Hospital

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

Trinity Hospital likely gives free care to households with a yearly income up to $15,960 for 1 person, $21,640 for 2, $27,320 for 3, $33,000 for 4, $38,680 for 5 or $44,360 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 | $15,960 | $63,840 |
| 2 | $21,640 | $86,560 |
| 3 | $27,320 | $109,280 |
| 4 | $33,000 | $132,000 |
| 5 | $38,680 | $154,720 |
| 6 | $44,360 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 100% of poverty level, patient pays $0
- 101% to 400% of poverty level, patient pays sliding fee scale; uninsured patients pay no more than Medicare interim rates (scale not attached to the filed policy)

## How to apply

- Call (530) 623-5541, ext. 3217 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=cca97f43-dbc1-4985-8654-ae081aad467a)
- [Financial Assistance (Charity and Discount Care) Policy (Version 3, effective October 01, 2025, HCAI effective date 08/11/2026)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32)
- 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 recent pay stubs or a recent tax return, a copy of your insurance card, if you have insurance.
- 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. Trinity Hospital, its swing beds, Trinity Community Health Clinic, Hayfork Community Health Clinic, and doctor fees billed by the district, including emergency doctors.

Not covered. Trinity Skilled Nursing Facility is not covered. Send-out lab tests and specialist services billed by outside providers are not covered.

## 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 100% of the poverty level, for both uninsured and insured patients. From 101% to 400%, you get a sliding scale discount. Uninsured patients pay no more than Medicare interim rates. Insured patients get the discount on what is left after insurance. The sliding fee scale itself is not in the filed policy. Savings are not counted. You can apply at any time, and you do not have to apply for Medi-Cal first. Approval lasts one year. To dispute a denial, call the Director of Revenue Cycle at 530-623-0278 or write to P.O. Box 1229, Weaverville, CA 96093. The district says medical debt is kept off credit reports.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > Private Pay Full Charity: A self-pay patient with a family income at or below 100% of the Federal Poverty Level
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > A self-pay patient with a family income between 101% up to and including 400% of the Federal Poverty Level
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > Patient responsibility will be reduced to Medicare interim reimbursement rates for eligible charges.
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > Insured Patient Full Charity Care: An insured patient with a family income at or below 100% of the Federal Poverty Level
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > Monetary assets are not to be included in the calculation for family income.
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > This policy does not apply to Mountain Communities Healthcare District dba Trinity Skilled Nursing Facility
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > Patient shall only be required to provide pay stubs or tax returns as proof of income
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > over the phone at 530-623-5541 ext. 3217
- Deadline https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=26f9e6d8-2ecc-4fce-a959-86b5f0c4da32
  > A patient may apply, at any time, for financial assistance.

Last checked 2026-11-10.

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