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Charity and Financial Programs

We know that a hospital visit, test or therapy is often unexpected. This unexpected expense can then become a worry to you.   
 
Our mission is to improve the health and lives of our patients and community. We take great pride in putting our patients first and that is the reason we have our charity and financial assistance programs available to offer assistance.
 
Providing Charity and Financial Assistance to Our Patients
Patients must complete an application and have their eligibility approved to receive free or discounted care.
 
Applications are provided upon request to a registrar, financial counselor, or any patient financial services representative. The program is designed so that patients work directly with our patient financial services representatives. Our helpful staff will review your application to see if you qualify for assistance.

To qualify for charity or financial assistance, you must be at or below the annual income guidelines shown in the table below. A patient financial services representative will contact you once a decision has been made on your eligibility for financial assistance. You are responsible for providing the information needed for the application process, and you will continue to receive statements until eligibility has been determined.
 
Thank you for choosing us.
 
 
Carondelet Health
2012 Poverty Guidelines Calculation Table
 
Hospital Based Inpatient and Outpatient Services
 
Household
Size
 
 
Charity Care
 
 
Financial Assistance Program
Uninsured
w/means
to pay
% of FPL
100%(a)
200%
225%
250%
275%
300%
>300%
1
 $11,170
 $22,340
 $25,133
 $27,925
 $30,718
 $33,510
 
2
 $15,130
 $30,260
 $34,043
 $37,825
 $41,608
 $45,390
 
3
 $19,090
 $38,180
 $42,953
 $47,725
 $52,498
 $57,270
 
4
 $23,050
 $46,100
 $51,863
 $57,625
 $63,388
 $69,150
 
5
 $27,010
 $54,020
 $60,773
 $67,525
 $74,278
 $81,030
 
6
 $30,970
 $61,940
 $69,683
 $77,425
 $85,168
 $92,910
 
7
 $34,930
 $69,860
 $78,593
 $87,325
 $96,058
 $104,790
 
8 (b)
 $38,890
 $77,780
 $87,503
 $97,225
 $106,948
 $116,670
 
Maximum HH
Responsibility
 
0%
 
0%
 
7.5% (c)
 
10% (c)
 
12.5% (c)
 
15% (c)
 
 
Discount
100%
100%
90%
80%
70%
60%
30% (d)
Discount Application
1)    Financial Assistance for the uninsured and Means to Pay discount based on total charges.
2)    Insured discount is based on the patient liability or balance due.
  
a)   Federal Register, January 26, 2012
b)   For each additional person, add $3,960 to annual income
c)   Maximum owed by any patient per episode of care or account
      is represented as a % of gross household income.
d)   The current uninsured discount is 30%.
 

 

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