# Henry Mayo Newhall Hospital

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

Henry Mayo Newhall Hospital 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.

| Household size | Free care if yearly income is up to | Discount if yearly income is 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 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays $0 (Charity Care)
- 201% to 300% of poverty level, patient pays 25% of the AGB, less insurance or third-party payment (if any)
- 301% to 400% of poverty level, patient pays 50% of the AGB, less insurance or third-party payment (if any)

## How to apply

- Call (661) 200-1117 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=155bb1f4-da03-473a-bb2f-73f11347bb85)
- [Financial Assistance Program (Patient Financial Services policy, approved 05/22/2024)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a)
- 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 from within 6 months before or after the first bill, or a copy of the federal tax return (Form 1040).
- Savings and property. The policy looks at income only, not savings or property.
- Languages. English, Spanish

## 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 balances at Henry Mayo Newhall Hospital, including Medicare and commercial insurance cost sharing. Billable trauma care is classified as charity care and not billed.

Not covered. Doctor services, including emergency doctors, bill separately and are not covered. Gift shop and cafeteria purchases and medically unnecessary services are excluded. Medi-Cal share of cost is not eligible.

## 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 200% of the poverty level. From 201% to 400% you pay a quarter or half of the amount generally billed, minus anything insurance paid. Above 400% there is no help under this policy. You never owe more than Medicare would pay. The policy does not set a high-medical-cost rule. The policy gives no deadline to apply. A decision letter generally comes within 30 days. Approval lasts 6 months. Appeals go to the Director of Patient Financial Services. For help filling out the application, call Patient Access at (661) 200-1050. The policy was approved 05/22/2024 with a review date of 05/22/2026, which has passed. HCAI's page shows 09/11/2026, so check that this is the current version. The hospital website printed on the application returned an error (403) to our automated check, so we used the HCAI application copy.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > 200% or less of the Federal Zero (Charity Care)
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > Financial Assistance is provided on a sliding scale basis based on Family Income up to 400% of the FPL.
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > 301% - 400% of the Federal 50% of the AGB, less insurance/third party payment (if any)
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > Financial Assistance may be granted to patients to assist with outstanding balances owed to HMNH, including Medicare and commercial cost-sharing amounts.
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > HMNH will not consider the patient's monetary assets in determining eligibility for Charity Care or Discount Payment.
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > The HMNH FAP does not include professional services provided by our medical staff.
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > Recent pay stubs from within the 6 months before or after the patient is first billed
- Languages https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=abc36a06-fe53-4512-8530-3c7bc6d4a29a
  > HMNH shall translate financial assistance program documents, including the full financial assistance policy and applications, into Spanish
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=155bb1f4-da03-473a-bb2f-73f11347bb85
  > call our Patient Financial Services Office at 661.200.1117.

Last checked 2026-11-10.

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