Charity Discount Policy
Financial relief may be available to patients who do not qualify for state or federal assistance and are unable to establish partial payments or pay their balance that have received non-elective care. In most cases, patients that fall between 0 - 200% of the Federal Poverty Level. Federal Poverty Levels based on total household income, with sufficient supporting documentation provided by the patient, will have a 100% Charity discount processed.
The following classes of patients may qualify for a charity discount:
- Under insured patients (i.e., those patients with some form of third party payer coverage for health care services but such coverage is insufficient to pay the current bill) when indigency is established, and the out of pocket responsibility is $1,000 or higher.
- Uninsured patients (i.e., those patients with no third party payer coverage for health care services whatsoever), which have advised that they are unable to pay their account balances.
Some locations may have identified additional criteria for charity eligibility besides the Federal Poverty Levels as noted above (i.e., high medical costs, more lenient income levels, etc.). To verify your eligibility for assistance under this policy, we recommend you contact the hospital.
A validation must be completed by the hospital to ensure that if any portion of the patient's medical services can be paid by any federal, or state governmental health care program (e.g., Medicare, Medicaid, Champus, Medicare secondary payor), private insurance company, or other private, non-governmental third-party payor, that the payment has been received and posted to the account. No charity discount can be applied to any account with any outstanding payer liability.
All Medicare accounts and all non-Medicare inpatient accounts will be required to have supporting income verification documentation. Medicare requires independent income and resource verification for a charity care determination with respect to Medicare beneficiaries (PRM-I § 312).
For Medicare beneficiaries, in addition to thorough completion of the Financial Assistance Application, the preferred income documentation will be the most current year's Federal Tax Return. Any patient/responsible party unable to provide his/her most recent Federal Tax Return may provide two pieces of supporting documentation from the following list to meet this income verification requirement:
- State Income Tax Return for the most current year
- Most Recent Employer Pay Stubs
- Written documentation from income sources
- Copy of all bank statements for the last three months
- Current credit report
For non-Medicare and Outpatient accounts, supporting income verification documentation may NOT be required. For these accounts, the thorough completion of the Financial Assistance Application may be acceptable for determining Charity Discount application.