LAC/Olive View-UCLA Medical Center
Nonprofit acute care hospital in Sylmar, CA.
Verified from the hospital's own policy and the state program, LA County Health Services Ability to Pay (ATP) Program
LAC/Olive View-UCLA Medical Center 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.
| People in household | Free care up to | Discount 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 |
Discount steps
- 0% to 200% of poverty level, you pay $0
- 201% to 300% of poverty level, you pay $20 per month outpatient and ER, $200 per inpatient stay
- 301% to 350% of poverty level, you pay $50 per month outpatient and ER, $700 per inpatient stay
- 351% to 400% of poverty level, you pay $80 per month outpatient and ER, $1,200 per inpatient stay
- 401% to 500% of poverty level, you pay $355 per month outpatient and ER, $2,500 per inpatient stay
- 501% to 600% of poverty level, you pay $435 per month outpatient and ER, $3,000 per inpatient stay
- 601% to % of poverty level, you pay $485 per month outpatient and ER, $3,500 per inpatient stay
How to apply
- Call (844) 804-0055, option 6 and ask for financial assistance.
- Application form
- Financial Assistance Programs and Charity Care Policy (DHS Policy 515, version 7, effective 06/01/2026)
- Plain language summary
- Bring household size and monthly gross income (a signed declaration is accepted; pay stubs or tax returns may be requested later).
- 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.
- Residency
- Ability to Pay is for LA County residents. People who live outside LA County use the Discount Payment Program (up to 400% of the poverty level).
- Savings and property
- The policy looks at income only, not savings or property.
- Languages
- English, Arabic, Armenian, Chinese (Simplified), Chinese (Traditional), Farsi, Hindi, Hmong, Japanese, Khmer, Korean, Punjabi, Russian, Spanish, Tagalog, Thai, Vietnamese
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
- All medically necessary services at LA County Health Services facilities, including inpatient, outpatient, emergency, lab, medications, and medical equipment.
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.
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
Program source, 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.
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.
Program source, 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.
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
Program source, checked 2026-11-10
LA County Health Services Ability to Pay (ATP) Program
The financial assistance program for LA County residents at LA County's own hospitals and clinics (LA General, Harbor-UCLA, Olive View-UCLA, Rancho Los Amigos, and county health centers). Care is free at or below 200% of the federal poverty level. Above 200% there is no income cap, and you pay a set amount on a sliding scale, one amount per month for outpatient and ER care and one amount per inpatient stay. Uninsured, underinsured, and insured patients with high costs can apply. Assets are not counted. You can apply in person or by phone, and you can apply for past bills with no time limit. The approval lasts one year. People who live outside LA County can use the Discount Payment Program (up to 400% of poverty level).
Income levels in the program are free up to 200% of poverty level.
Applies to LA County Department of Health Services facilities only; LA County residents (out-of-county patients use the Discount Payment Program). It does not apply to for-profit hospitals.
Call 844-804-0055, option 6, or visit a Patient Financial Services office at any LA County Health Services location.
It is no cost (free) for patients with income at or under 200% Federal Poverty Level (FPL) and a reduced cost, sliding scale for those
Program source, checked 2026-11-10
Notes
Free care at or below 200% of the poverty level. Above that, you pay a set amount, not a percentage of the bill, and the amount can never be more than Medicare or Medi-Cal would pay. Approval lasts one year. Patients with restricted Medi-Cal and no share of cost who live in LA County get Ability to Pay automatically. You do not have to apply for Medi-Cal to get a discount, but you may be screened for it if you could get free care. Appeals go in writing to the financial screening staff, with a written answer within 10 working days. Out-of-county patients: the Discount Payment Program caps the bill at what Medi-Cal would pay, for incomes up to 400% of the poverty level. Languages listed are the languages of the posted brochure. Whether outside doctors bill separately was not stated in the policy.
Sources
- Free care level
Charity care is available for persons with income up to 200% of FPL
- Discount level
ATP has no upper income cap for eligibility for discounted care, but liability increases on a sliding scale above 200% FPL.
- Discount steps
Inpatient Services $0 $200 $700 $1,200 $2,500 $3,000 $3,500
- Insured patients
Patients who are uninsured, underinsured, or have healthcare coverage (third party payer) with high medical costs as defined above.
- Asset test
Resources/assets (i.e., bank accounts, real property, etc.) are not counted in the determination.
- Residency
The ATP program is the FAP for LA County patients that offers both free (charity) care and discounted care.
- Deadline
ATP applications can be made retroactively with no time limitation.
- Documents
Declaration of income is acceptable. Income verification is not required at the time of application submission.
- Financial counseling phone
Please call us at 844-804-0055, Option 6.
- Languages
Additional information regarding our financial assistance programs can be found by selecting one of the following brochures
- Policy on file with state
POLICY NUMBER 515 VERSION NUMBER 7
Last checked. 2026-11-10
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