FAP Plain Language Summary
Help for Patients to Pay Hospital Care Costs
If you cannot pay for all or part of your care from our hospital, you may be able to get free or lower cost services.
- We treat all patients needing emergency care, no matter what they are able to pay.
- Services provided by physicians or other providers may not be covered by the hospital Financial Assistance Policy. You can call 800-876-3364 ext 8619 if you have questions.
How the Process Works
When you become a patient, we ask if you have any health insurance. We will not charge you more for hospital services than we charge people with health insurance. The hospital will:
- Give you information about our financial assistance policy, or
- Offer you help with a counselor who will help you with the application.
How We Review Your Application
The hospital will look at your ability to pay for care. We look at your income and family size. You may receive free or lower costs of care if:
- Your income or your family’s total income is low for the area where you live, or
- Your income falls below the federal poverty level if you had to pay for the full cost of your hospital care, minus any health insurance payments.
Please Note: If you are able to get financial help, we will tell you how much you can get. If you are not able to get financial help, we will tell you why not.
How to Apply for Financial Help
- Fill out a Financial Assistance Application Form.
- Give us all of your information to help us understand your financial situation.
- Turn the Application Form in to us.
Please Note: The hospital must screen patients for Medicaid before giving financial help.
Other Helpful Information
- You can get a free copy of our Financial Assistance Policy and Application Form:
- You can call the Financial Assistance Department if you have questions or need help applying. You can also call if you need help in another language. Call 800-876-3364 ext 8619