Santa Ynez Valley Cottage Hospital

Nonprofit critical access hospital in Solvang, CA.

Verified from the hospital's own policy

Santa Ynez Valley Cottage Hospital likely gives free care to households with a yearly income up to $79,800 for 1 person, $108,200 for 2, $136,600 for 3, $165,000 for 4, $193,400 for 5 or $221,800 for 6. It likely gives a discount to households with a yearly income up to $110,124 for 1 person, $149,316 for 2, $188,508 for 3, $227,700 for 4, $266,892 for 5 or $306,084 for 6.

The hospital makes the final decision.

Yearly household income, before taxes, using the 2026 federal poverty guidelines (free up to 500%, discount up to 690% of poverty level).
People in householdFree care up toDiscount up to
1$79,800$110,124
2$108,200$149,316
3$136,600$188,508
4$165,000$227,700
5$193,400$266,892
6$221,800$306,084

Discount steps

  • 0% to 500% of poverty level, you pay $0 (100% Financial Assistance) for uninsured patients and patients with high medical costs
  • 501% to 510% of poverty level, you pay 95% discount off your out-of-pocket share
  • 511% to 520% of poverty level, you pay 90% discount off your out-of-pocket share
  • 521% to 530% of poverty level, you pay 85% discount off your out-of-pocket share
  • 531% to 540% of poverty level, you pay 80% discount off your out-of-pocket share
  • 541% to 550% of poverty level, you pay 75% discount off your out-of-pocket share
  • 551% to 560% of poverty level, you pay 70% discount off your out-of-pocket share
  • 561% to 570% of poverty level, you pay 65% discount off your out-of-pocket share
  • 571% to 580% of poverty level, you pay 60% discount off your out-of-pocket share
  • 581% to 590% of poverty level, you pay 55% discount off your out-of-pocket share
  • 591% to 600% of poverty level, you pay 50% discount off your out-of-pocket share
  • 601% to 610% of poverty level, you pay 45% discount off your out-of-pocket share
  • 611% to 620% of poverty level, you pay 40% discount off your out-of-pocket share
  • 621% to 630% of poverty level, you pay 35% discount off your out-of-pocket share
  • 631% to 640% of poverty level, you pay 30% discount off your out-of-pocket share
  • 641% to 650% of poverty level, you pay 25% discount off your out-of-pocket share
  • 651% to 660% of poverty level, you pay 20% discount off your out-of-pocket share
  • 661% to 670% of poverty level, you pay 15% discount off your out-of-pocket share
  • 671% to 680% of poverty level, you pay 10% discount off your out-of-pocket share
  • 681% to 690% of poverty level, you pay 5% discount off your out-of-pocket share

How to apply

  1. Call (805) 879-8963 and ask for financial assistance.
  2. Application form
  3. Patient Financial Assistance Policy, "Help Paying Your Bill" (revised June 2026; on file with HCAI, effective 08/06/2026)
  4. Bring driver's license or photo ID (adult patients), recent pay stubs or recent income tax returns (or unemployment statement).
  5. 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.
Savings and property
The policy looks at income only, not savings or property.
Very large bills
Patients with high medical costs (out-of-pocket costs over 10% of family income) at or below 500% of the poverty level get free care. Patients whose medical bills are a large share of income may be found medically indigent, at Cottage Health's discretion.

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 facility fees for emergency and medically necessary care at Santa Barbara, Goleta Valley, and Santa Ynez Valley Cottage Hospitals, Cottage Rehabilitation Hospital, and hospital-based clinics
Not covered
Doctors' fees are not covered. Cottage Urgent Care, Cottage Residential Center, the COPE program, off-campus Pacific Diagnostic Laboratories services, and cosmetic procedures that are not medically necessary 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.

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

Notes

Free care if you have no insurance or have high medical costs and your household income is at or below 500% of the poverty level. From 501% to 690% you get a discount off your out-of-pocket share, starting at 95% and dropping 5 points for each 10% step in income. The policy text says discounts go up to 700%, but its table gives 0% from 691% to 700%. Insured patients can get help with copays, coinsurance, and deductibles. Savings are not counted. You can apply at any time. You must send new income papers each January to keep getting help. A decision letter is mailed within 14 business days of a complete application. Patients screened at 500% or less may get their balance written off without applying. Out-of-network patients who choose non-emergency care are not covered unless a single case agreement is set up first. Appeals go to the Vice President of Revenue Cycle at (805) 879-8926 or [email protected]. Apply through MyChart, by mail to Cottage Health Financial Assistance Program, PO Box 689, Santa Barbara, CA 93102, or in person at 6550 Hollister Avenue, Goleta. The state file for the application is the same combined document as the policy.

Sources

  • Free care level
    Uninsured Patients and patients with High Medical Costs with a Household Income equal to or less than 500% of FPL
  • Discount level
    Discounted care is available for patients with a Household Income up to 700% of the FPL
  • Discount steps
    Annual family income levels up to the stated dollar value are eligible for the corresponding discount.
  • Insured patients
    Financial Assistance may be applied to uninsured patients, as well as the patient liability for patients with insurance
  • Asset test
    taking into consideration Number of Family Members (and not considering Monetary Assets).
  • Very large bills
    100% financial assistance or discounted care is available for guarantors who demonstrate they are Medically Indigent.
  • What is not covered
    Services provided at a Cottage Urgent Care are excluded from this policy.
  • Deadline
    Patients are eligible to apply for Financial Assistance under this Policy at any point in time.
  • Documents
    Driver's license or photo ID (for adult patients Either of the following: recent Income Tax returns or recent Pay Stubs
  • Financial counseling phone
    Please contact our Financial Assistance team at 805- 879-8963, between the hours of 8 a.m.– 4 p.m. Pacific Time, Monday–Friday
  • Facility named in policy
    Santa Ynez Valley Cottage Hospital;

Last checked. 2026-11-10

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