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Hospital Facility Financial Assistance Policy Provider List

Why Financial Assistance Matters

Hospital bills can be overwhelming, especially for patients without insurance or those whose coverage leaves large gaps. Most hospitals are required by federal and state law to offer a written Financial Assistance Policy (FAP) that outlines how qualifying patients may receive reduced or waived charges. Understanding these policies helps patients avoid unnecessary debt, preserve credit, and receive care without fear of unaffordable bills.

Key Elements of a Hospital Financial Assistance Policy

  • Eligibility Criteria: Income thresholds, asset limits, and other qualifying circumstances.
  • Application Process: Required forms, documentation, and timelines for submission.
  • Assistance Types: Full forgiveness, partial discounts, payment plans, or medical debt forgiveness programs.
  • Appeals Procedure: How patients can contest a denial.
  • Public Disclosure: Where the policy is posted (website, patient services desk, etc.).

How to Find a Hospitals Financial Assistance Policy

Most hospitals make their FAP publicly available online. Look for links titled Financial Assistance, Charity Care, or Patient Billing. If a policy is not easily located, call the patient financial services department and request a copy. Below is a curated list of major hospital systems and direct links to their policies.

Provider List

Hospital System State(s) Policy Link Notes
Ascension Health Multiple (CA, TX, FL, etc.) Financial Assistance Policy Income threshold 300% of Federal Poverty Level (FPL).
AdventHealth FL, GA, NC, SC, TX Charity Care Policy Offers both full and partial forgiveness.
Bay Area Medical Center California Financial Assistance Applies to patients 250% FPL.
CommonSpirit Health Multiple (AZ, FL, IL, etc.) Financial Assistance Sliding scale based on income.
Johns Hopkins Health System Maryland Charity Care Full forgiveness for 200% FPL.
Kaiser Permanente CA, CO, GA, HI, MD, OR, VA, WA Financial Assistance Automatic eligibility for members on Medicaid.
Mayo Clinic MN, AZ, FL Financial Assistance Complex application; includes assets test.
Mount Sinai Health System New York Charity Care Policy Provides up to 100% discount for qualifying patients.
NYU Langone Health New York Financial Assistance Income 300% FPL qualifies for up to 80% discount.
Providence Health & Services Multiple (OR, WA, CA, TX, etc.) Financial Assistance Tiered discounts based on income level.
UCLA Health California Charity Care Full exemption for 150% FPL.
University of Michigan Health Michigan Financial Assistance Monthly income 400% FPL may receive discount.
Virginia Commonwealth University Health System Virginia Financial Assistance Full waiver for 185% FPL.
Walmart Health Clinics Nationwide Financial Assistance Flatrate pricing; no formal charity care.

Steps to Apply for Assistance

  1. Gather Documentation: Recent pay stubs, tax returns, proof of residency, insurance statements, and any existing bills.
  2. Review Eligibility: Compare your household income to the percentage of the Federal Poverty Level (FPL) listed in the policy.
  3. Complete the Application: Use the hospitals online portal or printable form. Be thorough; incomplete forms lead to delays.
  4. Submit Supporting Documents: Attach copies (never originals) of required paperwork.
  5. Follow Up: Call the patient financial services department within 710 days to confirm receipt.
  6. Receive Decision: Hospitals must respond within 30 days (or 60 days for more complex cases).
  7. Appeal if Needed: If denied, request a written explanation and submit an appeal with additional evidence.

Additional Resources

Reference Files For Hospital Facility Financial Assistance Policy Provider List
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