To generate the most accurate estimate for your health care procedure, please have the following information available: Non-discrimination Notice العربية | Français | Deutsch | हिंदी | 日本語 | 한국어 | नेपाली | Русский | Soomaali | Español | Kiswahili | Tiếng Việt | 中文, is committed to helping patients make informed decisions about their care. Q. Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. To view the list of providers that are covered and/or not covered by the Financial Assistance Policy, please select a facility below. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. Federal Poverty Guidelines. Procedure: Regulation Section1.501(r)-4-- Financial assistance policy and emergency medical care policy Our cost, estimate tool helps you estimate your out, pocket costs for care. financial support status, household size and situation. CHI HOMEOWNERS ASSISTANCE GRANT PROGRAM 2016 PROGRAM GUIDELINES Community Housing Innovations, Inc., through the New York State Affordable Housing Corporation, is offering First-Time Homebuyers assistance to cover down payment and/or closing costs plus rehabilitation expenses. The annual income for a family to be eligible to receive a subsidy if 200 percent or less of the Federal Poverty Income GuidelinesOpens In A New Window: (Note: The above information provides only general guidelines. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. Financial Assistance Welfare or Temporary Assistance for Needy Families (TANF) provides cash for a limited time to low-income families working toward self-sufficiency. Patients can submit Financial Assistance Program applications prior to or on the day their care is provided up until the 240th day How we can help . To generate the most accurate estimate for your health care procedure, please have the following, Patient’s personal information, including contact information, • One Saint Joseph Drive, Lexington, KY 40504, Flaget Memorial Hospital Contact Information, Saint Joseph Hospital Contact Information, Saint Joseph Jessamine Contact Information, Saint Joseph Mount Sterling Contact Information. Must be on official letterhead. The estimate includes the hospital’s charges and fees, but it d, include physician fees, such as charges for your emergency room physician, radiologist or. We look at your family income, the number of people in your family, and other resources such as savings or investments. Financial Assistance is offered as follows: 1. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. One way that we do this is through our CHI Financial Assistance program, where we reduce the costs of a patient’s medical bills based on their financial need. When can I apply for assistance? The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. We have instituted a program designed specifically to help those who find themselves in financial distress. The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. In addition, your final cost may be higher or lower depending on many factors, including insurance coverage, the length of your stay in the. h�b``f``�� G"P#�0p4 � C1C(?������ ��5:0%�rpqh�ܨc? You may also contact us to speak with a CHI Saint Joseph Health. Other conditions may apply. For a more complete understanding of your financial responsibility, contact your insurance provider. 11. lso download a list of our standard charges for these services. Application for Financial Assistance Applications for Financial Assistance are available for download for the entities below. Click here to view the new Child Care Financial Assistance Program Income Guidelines effective September 3, 2017. Advocate Health Care may provide Financial Assistance for medically necessary services to patients in need. This increase will move the guidelines from the 2016 Federal Poverty Level to the 2017 Federal Poverty Level. Please refer to the chart below for details. Parents will not be required to take additional steps to have the new guidelines effect their eligibility. To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income. assistance options you may be eligible for. The current Federal Poverty Level can be found at: http://ldh.la.gov/assets/medicaid/MedicaidEligibilityPolicy/Z-200m.pdf. You may also contact us to speak with a CHI Saint Joseph Health financial counselor and learn about financial assistance options you may be eligible for. Income is Over 400% of Federal Poverty Guidelines After a financial assessment of the patient's income and assets has been completed, uninsured patients over 400% of the Federal Poverty Guidelines will be enrolled in the Self-Pay/Uninsured Program. 4 assistance application. How is financial assistance determined? For a more complete understanding of your financial responsibility, contact your insurance provider. In addition, your final cost may be higher or lower depending on many factors, including insurance coverage, the length of your stay in the hospital, health complications and recommended treatments ordered by your doctor. While this tool can help you estimate some health care costs, it’s important to know that it only provides a partial estimate.The estimate includes the hospital’s charges and fees, but it does not include physician fees, such as charges for your emergency room physician, radiologist or anesthesiologist. endstream endobj startxref To qualify for any assistance, u… %%EOF In addition, the Community Care Program policy, which provides more financial assistance details, is available by request by calling 1-800-728-0159 or by following the respective link under “Program Policy” on this page. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. Here to serve as your partner in health, offering a wide variety of services that care for the mind, body and spirit. You may qualify: If your family income is at or below 300% of the Federal Poverty Limit; issued by the U.S. Department of Health and Human Services (HHS) To check your eligibility and apply, click here Sliding Scale – Within the subsidy system, the sliding fee is the portion of the child care payment the family is responsible for paying based on a family’s size and income. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. To be eligible for financial assistance as a financially indigent guarantor, a person's income must be at or below 400% of the federal poverty guidelines. To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income. 137 0 obj <>stream Please contact the Patient Financial Services Financial Counseling office at (585) 922-1001 for free, confidential assistance. Please contact your county Early Learning Resource Center to apply for assistance.) The CHIFinancial Assistance Policy(available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. 4� ���pb��*�Aְ20ܩ��� � H�� Income Level Guidelines for Financial Help The table below shows what financial help you may qualify for depending on household size and income. Residents of Cuyahoga County will automatically receive a 65% reduction to their bill. at least 300 common medical services and procedures. Guidelines for Financial Assistance Eligibility Baptist Health looks at your financial status to decide if you meet the guidelines for financial assistance or discounted care. Financial assistance is based on your family income and the current Federal Poverty Level. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. ... Click here to learn about the level of discount offered depending upon Poverty Income Guidelines. qualifying patients based on their income. h�bbd``b`�$���T ��$��A�>q�d=�uDl7A�u �Ҧ$B��WH�ԁX� �J a��������.��ٯ M*X CCMC may consider other financial assets and liabilities of the person when determining eligibility. Example: low-income housing property manager. To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income. Subsidy – The Missouri Subsidy Assistance System works with Missouri families to help them afford child care. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. 93 0 obj <> endobj This tool provides cost estimates for at least 300 common medical services and procedures. endstream endobj 94 0 obj <. 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