Accessibility Tools

Help Paying Your Bill

For patients and their families coming from their home countries for medical care, LADMC is committed to making travel to Los Angeles as easy as possible. We want you to understand the choices you have for health insurance coverage and bill payment. If you'd like to be covered for care from LADMC Medical Center and our doctors, see below to explore your payment options and which insurance plans are accepted for international patients. You'll also find more details about the services available to international patients.

Charity Care will be made available to patients whose family income and assets are at or below 400 percent of the current year’s Federal Poverty Level (FPL). Patients whose income ranges between 401 to 600 percent of the FPL also qualify for discounted care.

Financial Assistance

As part of our mission, we are committed to providing access to quality healthcare for the community and treating all of our patients with dignity, compassion and respect. This includes providing services without charge, or at significantly discounted prices, to eligible patients who cannot afford to pay for care as provided by our financial assistance policy. We also offer our patients a variety of options to meet their financial needs, even if they do not qualify for assistance. For questions, please call Patient Services at (213) 314-1492

Are You Eligible?

  • Charity Care: Financial assistance is available to patients who are unable to pay their hospital bill due to a financial inability to pay. This is available to patients receiving medically necessary services and who meet the qualifications of the hospitals Charity Care Financial Assistance Policy.
  • Discounted Care: Patients who are not eligible for charity care due to the patient’s family income is greater than 400% of the established Federal Poverty level are eligible for discounted care.

Eligibility for financial help is determined without regard to sex, race, color, religion, ancestry, national origin, age, disability, medical condition, marital status, sexual orientation, gender identity, gender expression or educational background.

Person in Family/HouseholdPoverty Guideline
1$15,060
2$20,440
3$25,820
4$31,200
5$36,580
6$41,960
7$47,340
8$52,720

Source: https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines

Note 1: For families/households with more than 8 persons, add $5,380 for each additional person.

Note 2: The 2024 poverty guidelines for the 48 contiguous states and the District of Columbia are in effect as of January 01, 2024.

How to Apply

To obtain information about charity care and discount payment please contact our Business Office located on the 1st floor Monday – Friday 9am – 5pm. Please give us a call at (213)-314-1492 or email us at [email protected]

1.Download and print the Financial Assistance application.

Select your language:

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English

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English Audio

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English Fillable...

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Spanish

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Russian

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Farsi

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Chinese

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Korean

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Armenian

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Vietnamese

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Arabic

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Czech

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Forms are also available at our registration and admission desks.

2. Submit your form

By mail:

LADMC Financial Assistance
Processing unit
1711 West Temple Street
Los Angeles, California 90026

In Person:

LADMC Financial Assistance
Processing unit
1711 West Temple Street
Los Angeles, California 90026

Need help getting the application, filling it out, or turning it in?

  • Contact Patient Services at (213) 314-1492
  • For patients currently admitted at the hospital, contact Patient Financial Advocates at (213) 314-1492

3. We will review your application.

  • A customer service representative checks your application to make sure it iscomplete and all supporting documentation is provided.
  • If your application is incomplete, then you will receive a letter explain what is needed.
  • You will receive communications notifying you whether the application was approved or declined.

If you have not received any status notifications, you can contact Patient Services at (213) 314-1492

Patient Services
(213) 314-1492

Available weekdays 8 a.m. - 4:30 p.m. PT

Financial Assistance Documents

View the Summary of Financial Assistance Policy:

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English

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English Large

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English Audio

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Spanish

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Russian

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Farsi

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Armenian

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Chinese

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Korean

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What Services Are Covered?

The financial assistance policy applies only to medically necessary services provided by LADMC and include:

  • Medical center facility services
  • LADMC faculty physicians in their capacity as faculty
  • LA Medical Care Foundation (“LADMCF”) employed physicians or medical groups that have an exclusive professional services agreement with LADMCF.
  • LADMC emergency physicians of the Community Urgent Care Medical Group, Inc.

Financial assistance for elective procedures and for follow-up care is limited to patients who live in the service area or as otherwise approved by an officer of the Organization.

View the full LADMC Financial Assistance Policy:
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English

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English Large

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English Audio

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Spanish

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Russian

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Farsi

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Korean

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Armenian

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Chinese

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View the full LADMC Debt Collection Policy:
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English Large

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English Audio

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Spanish

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Russian

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Farsi

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Korean

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Armenian

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Chinese

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What Doctors Are Covered?

Not all doctors who practice at LADMC take part in our Financial Assistance Policy. To see if your doctor is included, review the attached listing of participating and nonparticipating doctors.

If your doctor has a "Yes" in the first column, they are included. If your doctor has a "No" in the first column, be sure to ask if they have their own financial assistance policy.

It is possible that your doctor is covered by our policy as part of a group (such as faculty physicians) but that their private practice is not. Whether or not your doctor is listed as covered by the policy, it is a good idea to check with your doctor’s office directly to ensure you receive the most current and accurate information.

Other Assistance Programs

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 HospitalBillComplaint.hcai.ca.gov for more information and to file a complaint.

Note: Authority cited: Section 127010, Health and Safety Code. Reference: Section 127410, Health and Safety Code.

Help Paying Your Bill

We provide financial assistance to eligible patients. We also offer our patients a variety of options to meet their financial needs, even if they do not qualify for assistance.

HELP PAYING YOUR BILL

More Help

For patients that need help paying a bill, there are free consumer advocacy organizations that will help patients understand the billing and payment process. Patients may call the Health Consumer Alliance at 888-804-3536 or go to healthconsumer.org for more information

If you have a disability and need an accessible alternative format for the above materials or if you speak another language than those listed, please contact Business Office and they can offer you an alternative format or connect you with our Interpreter Services department for further assistance.

Have Questions or Need Help?

By Phone

We’re here to help answer your questions Monday through Friday, 8 am - 4:30 pm.

call (213) 314-1492

By E-Mail

Would you prefer talk to us by email? No worries – we’ve got you covered and we’ll respond within 3 business days.

e-mail us