Financial Assistance          Billing FAQ          Pay Bill Online

The mission of College Hospital is to develop, manage and promote a continuum of health care services to meet the needs of our community specializing in behavioral and detox services. This includes offering financial assistance or services at a discounted price to those who qualify.

College Hospital provides our patients the option to qualify for Financial Assistance. This charity policy is a means through which College Hospital will work to meet the behavioral and detox needs of its patients by offering services at no charge or at a nominal charge for qualified patients. While County government has the responsibility for providing services to the indigent, College Hospital assists in carrying out that responsibility. Helping to meet the needs of the uninsured and underinsured is an important element in our commitment to the community. The Charity Care qualifications are based on the Federal Poverty Level guidelines and are contingent upon the completion of the required documentation.

View our full charity policy and procedure here: English | Spanish

Qualifying for Financial Assistance

  • Assistance is available if services being provided are not covered/reimbursed by Medi-Cal or any other third party, the patient is self-pay, the patient has medical expenses which exceed 10% of the family income, and/or patient has family income at or below 400% of the FPL.
  • Full financial assistance is available if the patient’s income is 400% or less of the FPL, regardless of net worth or size of bill.
  • Partial financial assistance is available If the patient’s income is between 401% and 450% of the FPL.
  • Assistance is based upon a sliding scale based on family size and income level, regardless of net worth or size of bill.

To view the current Federal Poverty Level guidelines, please visit https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines

How to Apply

Download and print the Financial Assistance Application and instructions here: English | Spanish

If you have questions regarding the application, please contact your Patient Financial Representative at (562) 904-3998, Monday through Friday, 8 a.m.- 4:30 p.m. (Pacific Time) or email charitycare@chc.la

Hospital Bill Complaint Program
The Hospital Bill Complaint Program is a state program, which reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.

Billing Frequently Asked Questions (FAQ)

Your Patient Financial Representative can be reached directly at (562) 904-3998, Monday through Friday, 8 a.m.- 4:30 p.m. (Pacific Time).

Payment can be made by mail or via website at chcm.us

Mail Check, Money Orders, Cashier’s Check

Make payable to “College Hospital Costa Mesa”. Include statement payment portion or billing letter. Your payment will process within 2-4 weeks. Send to:

College Hospital Costa Mesa
Attn: Patient Accounting
301 Victoria Street
Costa Mesa, CA 92627

Note – payment can be made via credit card by completing the bottom portion of your statement and mailing to the above address.

Website at chcm.us

(1) Go to Quick Links
(2) Click Pay Bill Online
(3) Click Pay Costa Mesa Bill

If you are unable to pay the amount in full, an interest free payment plan can be arranged. To arrange monthly payments or obtain an itemized bill please contact your Patient Financial Representative at (562) 904-3998.

College Hospital bills your insurance company for care provided by the hospital. The amount the insurance company pays is determined by your plan’s benefits. Your insurance plan will apply deductible and coinsurance amounts based on your individual policy. Once payment is received from your insurance plan the indicated deductible and coinsurance amounts will then be billed directly to you.

It is common to receive more than one bill, such as a bill for your hospital visit and a separate bill for physician services. Physician charges are not part of your College Hospital bill. You will be billed separately by any hospital-based doctors who treat you. Types of bills you may receive include:

Hospital bills: these bills may include fees for your room, meals, nursing care, hospital therapy, and lab tests.

Physician bills: these bills may include doctor visits, consultations, reviewing lab results and procedures. If, during your stay, you required tests or treatments, you may receive bills from physicians you did not see in person. These bills are for their professional services such as diagnosing and interpreting test results. If you have any questions about charges on these physician bills, please call the number printed on your bill.

Patients without insurance may qualify for Medi-Cal. Applications can be filed at your local County Social Services Office or via website www.dhcs.ca.gov/services/medi-cal.

Under College Hospitals Charity Care Policy, those who have inadequate insurance coverage and who meet Federal Poverty Income Guidelines may qualify for a discount. The Charity Care Policy can be obtained online. If you believe you qualify for a discount, please complete Financial Assistance Application, and provide the required documents for consideration.

Your application can be submitted via email at charitycare@chc.la or via mail to PO Box 2104 Santa Fe Springs, CA 90670.

If you have questions regarding the application, please contact your Patient Financial Representative at (562) 904-3998, Monday through Friday, 8 a.m.- 4:30 p.m. (Pacific Time).

For more information, see the section on Financial Assistance above

If you are unable to pay the amount in full, an interest free payment plan can be arranged. Depending on the balance due payment arrangements can be made, not to exceed twelve (12) months. Payment arrangements are interest free. Recurring payments will be deducted from the debit card you provide once a month for the agreed amount. To arrange monthly payments please contact your Patient Financial Representative at (562) 904-3998.

If you believe there is an error on your bill, please notify us in writing. Written disputes should be sent to 301 Victoria Street Costa Mesa, CA 92627. Attn: Risk Management/ QI Director.

When you send your written dispute, please include the following information:

  • Your Name
  • Your Patient Account Number
  • Dates of Services
  • An explanation of why you believe the charges are inaccurate

You will receive a response to your dispute within thirty (30) working days.

Upon admission to our hospital, you will receive our Patient Financial Pamphlet. You may preview the pamphlet below.

Patient Financial Discharge Notice Pamphlet

 

Financial Assistance          Billing FAQ          Pay Bill Online