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Notice of Discount Charity Care Offered by

MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL

Martin Luther King, Jr. Community Hospital offers a discounted charity care payment program to financially qualified patients. If you are a self-pay patient or have high medical expenses and believe you may be a candidate for the hospital program, please contact our Financial Assistance Coordinator at 1.800.348.9439.

Pursuant to state and federal regulations, Martin Luther King, Jr. Community Hospital wants to inform you of your rights relative to the collection of any hospital debt.

Rosenthal Fair Debt Collection Practices Act and Federal Fair Debt Collection Practices Act:

State and federal law require debt collectors to treat you fairly and prohibit debt collectors from making false statements or threats of violence, using obscene or profane language, and making improper communications with third parties, including your employer. Except under unusual circumstances, debt collectors may not contact you before 8:00 a.m. or after 9:00 p.m. In general, a debt collector may not give information about your debt to another person other than your attorney or spouse. A debt collector may contact another person to confirm your location or to enforce a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission by telephone at 877.FTC.HELP (877.382.4357) or online at www.ftc.gov.

Notice of Fair Pricing by

MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL

Please inform the hospital if the patient has health insurance (e.g. HMO, PPO, Medicare, Medi-Cal, automobile insurance, workers’ compensation, etc.) that will cover the services rendered. If the patient lacks, or has inadequate insurance and meets certain low- and moderate-income requirements, the patient may qualify for the hospital’s discount payment or charity care program.

Applications for Medi-Cal and other government sponsored programs are available at Martin Luther King, Jr. Community Hospital in the following offices: Admitting, Emergency Room, and Patient Financial Services or by calling Covered California at 1.800.300.1506.

Please contact the Financial Assistance Coordinator at 1.800.348.9439 to obtain additional information about the hospital’s discount payment and charity care programs.