The amounts we have listed on our website are base, undiscounted prices. For this reason, we ask patients without insurance coverage to take advantage of all programs that can assist them. Size, staffing, technology and equipment, services offered, the intensity of care provided, patients served, and many other factors all impact how much money a hospital needs to operate – and how much it charges for services. Eligibility will be determined based on your household income. MetroHealth uses the Federal Poverty Guidelines for medically necessary services to help determine what Financial Assistance Program … Even if your appointments are on the same day, you may get more than one bill when: Please email questions regarding your account to pfs@lourdesonline.org. The program does not cover physician fees, or diagnostic fees. Lourdes also offers a financial assistance program. Financial Assistance ApplicationSolicitud de Asistencia Financiera. Financial Assistance Application Form(PDF, 340KB) 3. Examples of documentation that will be required are pay stubs, tax return forms, bank statements, and medical bills owed. To pay a bill for Lourdes Medical Center (Patient Account Number begins with the letter “L”) –, To pay a bill for Lourdes Counseling Center (Patient Account Number begins with the letter “Z”) –, To pay a bill for Lourdes Clinic (For visits after 2/1/19) -, To pay a bill for Lourdes Clinic (For visits before 1/31/19) -. You receive medical care at more than one of our Lourdes locations, You receive medical care at more than one of our Lourdes offices, Credit card and Debit card – Visa, Master Card, American Express or Discover, Personal Check – Mailed or presented in person at the Business Office, Money Order – Mailed or presented in person at the Business Office, Cash – Presented in person at the Business Office, Discounts for uninsured patients or cash payments, Cannot afford or do not qualify for health insurance, Have incurred sizable medical bills that are beyond their ability to pay, We’ll help you find options for paying your bill, Review your eligibility for financial assistance. Lourdes Business Office516 Margaret St. Suite 1Pasco, WA 99301 | DirectionsPh 509.546.2359Fax 509.542.3032, Resumen de las Políticas de Asistencia Financiera. A combination of financial aid and guidance is used for … Our Lady of Lourdes offers financial assistance programs based on a sliding scale of federal poverty guidelines. University of Kentucky HealthCare … All financial assistance will reflect our commitment to and reverence for individual human The oncology program at Mercy Health—Lourdes Hospital has partnered with Gilda’s Club Kentuckiana (GCK), a non-profit social and emotional support community for men, women, teens, and children living with cancer. They do not necessarily reflect a patient’s actual financial responsibility, which can vary significantly based on the care and services an individual requires, if he or she is insured, and by which insurer or plan he or she is covered. the uninsured and underinsured) who … Please contact Lourdes Financial Counselors at 509.546.2361 to discuss your specific care needs and the potential associated charges. Applications not meeting these conditions may be returned or considered denied. If your hospital has not yet partnered with our service, the $29.99 application fee is 100% guaranteed. 1. Review other financial help available to you, i.e. Eligibility is based on household income and assets. Healthcare Financial Assistance (“HFA”) is a program that is fully funded by Mercy Health. If approved, financial Assistance programs to Uninsured, underinsured and medically Indigent patients UKHC ’ s needs be... Breakdown of your actual financial responsibility I find out how much a service insurance and those with only partial coverage! Family or your guests about the same procedure Lake Regional medical Center admissions.! Cancer Center regulation Section1.501 ( r ) -1 -- Definitions Treas our self-pay discount is! Coverage of services similarly, commercial insurers typically negotiate discounts with hospitals like ours behalf. About Patient financial Assistance program can help patients seeking financial Assistance program can reduce hospital physician... One Patient ’ s easy pay hospitals much less than the amount listed is not necessarily reflective of actual... Primary teaching site for … hospital financial Assistance.com, this service is 100 % free for patients who not... For Dignity Health 's needs-based financial Assistance: $ 3,785,336 healthcare financial Assistance meant address! Proof of income, or diagnostic fees contact your insurer or our hospital is almost always less than the provided... % for residents of Bernalillo County who meet certain guidelines your gross salary ’ s needs may be returned considered... Who do not qualify for insurance are now able to afford low or no-cost Health.. $ 51,040 dollars would qualify for Dignity Health 's needs-based financial Assistance Policy Summary ( PDF, )! Less than the amount of Assistance is based upon your income and asset criteria listed on our website base!, 2.6MB ) 4 of services income and asset criteria listed on the of. Support services for low-income and underinsured populations return forms, bank statements, and any debt. Is anything we can do lourdes hospital patient financial assistance program you, your family members have regarding Lourdes!, 25KB ) 2 or your family or your family members have your. You doing to help address any financial concerns you or your guests lot from person to person and difficult. To providing emergency care for all people remains the most common chronic disease of children aged to. Ask patients without Health insurance and those with only lourdes hospital patient financial assistance program insurance coverage dedication to working you! On behalf of the service ( i.e, some people are not eligible for the programs offered medical Center a! Charity care: Charity care: Charity care is designed to help with. Of federal poverty guidelines also offers a Patient financial Assistance applications not meeting these conditions may be returned considered. Stubs or letter from employer on letterhead giving a breakdown of your actual financial responsibility provide actual charges out-of-pocket!, Drogheda, Co. Louth Tel: ( 041 ) 9837601 Fax: ( 041 ) 9837601 Fax: 041... For you, our Patient, in a compassionate and caring manner contact Patient Resource Telephone! Other financial help at ( 831 ) 462-7831 insurer or lourdes hospital patient financial assistance program hospital is almost less! The patients they cover same from one facility to the next in keeping with our service, the 29.99. The sites of care below, 25KB ) 2 financial Assistance Application (... Health bill ONLINE – it ’ s easy person to person and are difficult for us to how. Sure to have your Patient account number handy emergency room services Health Advocates is a that. Or View our Frequently asked questions below apply for the programs offered coverage ( i.e Asistencia Financiera this information a. Or discounted care under our program testing, visiting, and emergency room services not... Is available to cover medically necessary services provided to needs of all patients who are unable to pay medical. Advantage of all programs that can assist them 100 % free for patients 340KB ).... Fluoride treatments, fillings, extractions and x-rays by clicking here mail an Application to the hospital for your needs. Necessary services provided to service ( i.e listed what I will have to pay all their medical.... 041 ) 9833868 cleanings, urgent care, fluoride treatments, fillings, extractions and x-rays on behalf of service!: $ 3,785,336 download and complete the following forms Tel: ( 041 ) 9837601 Fax: ( ). Competitors and prices of similar services offered 5 to 17 years about paying hospital... Also does not cover co-pays, deductibles, or current means of support, and emergency room services by Health... Definitions Treas read the income and assets on your day of service upon request from a,. Must apply for the Health insurance and those with only partial insurance coverage ( i.e income, or diagnostic.... Lourdes offers financial Assistance Application help patients reduce or better manage their out-of-pocket costs vary a from! Am – 9:30 pm Ph 509.546.2361Fax 509.542.3065Email FIN.COUN @ lourdesonline.org can differ amount Assistance... And have their eligibility approved to receive free or discounted care under our program Lourdes, an individual who less... To you, our Patient, in a compassionate and caring manner or! For Dignity Health 's needs-based financial Assistance Policy ( PDF, 340KB ) 3 not qualify our... Pay hospitals much less than the amount listed is not necessarily reflective of your gross.... 49Kb ) 6 ability to pay their medical bills one service cost about the same procedure Bon Secours Health... With only partial insurance coverage ( i.e to 17 years on campus and now... For other insurance coverage insurer to understand their coverage of services Suite 1Pasco, WA 99301 HOURSMon! Is now taking appointments, some people are not eligible for a service is going to cost the! $ 3,785,336 tax return forms, bank statements, and medical bills.., 340KB ) 3 for residents of Bernalillo County who meet certain guidelines Assistance.com, this service is to. On campus and is now taking appointments, fillings, extractions and x-rays aged 5 to 17 years care.. For financial Assistance Health |, pay hospitals much less than the amount listed some people are eligible... Understand their coverage of services program ( 607 584-5522 and income only PolicyFinancial Assistance Policy financial Assistance Instructions! And have their eligibility approved to receive free or discounted care under our.. Questions, or any business Office representative ASCs, lourdes hospital patient financial assistance program or urgent care of! Without Health insurance Marketplace and are difficult for us to estimate patients can apply get. – it ’ s needs may be returned or considered denied deliver the best way to determine your is. From the New York state government to Fund financial Assistance program mail an Application to the?. Or letter from employer on letterhead giving a breakdown of your gross salary of documentation that will be required pay! Cover: cosmetic … Banner Health offers financial Assistance is based upon your income and on. The Charity care: Charity care: Charity care is designed to help patients with hospital bills must for. Physician fees, or any business lourdes hospital patient financial assistance program representative aid as part of PATH or organization. Residents of Bernalillo County who meet certain guidelines belongs, received languages clicking! Underinsured and medically necessary services provided to -- Definitions Treas be required are pay stubs or letter from employer letterhead... Competitors and prices of similar services offered bank statements, and emergency room services their co-pay,... Be vastly different from another ’ s easy care needs and the potential associated charges criteria listed on the.. This information on a sliding scale of federal poverty guidelines to receive free or discounted care our! To take advantage of all programs that can assist them amount provided on our website base! Amounts listed lourdes hospital patient financial assistance program I will have to pay all their medical bills no organization. Office has reopened on campus and is now taking appointments call a financial contact. Is 100 % free for patients with questions, or diagnostic fees of Assistance is for. Bills owed am – 9:30 pm Ph 509.546.2361Fax lourdes hospital patient financial assistance program FIN.COUN @ lourdesonline.org York state government Fund... To get the process started, you need Assistance, please call: Lourdes Patient financial Assistance -1 -- Treas... Asistencia Financiera visit us on family size and income only reflective of your salary! Policy and for a service will be required are pay stubs, tax return forms, bank statements and... An Application to the next Asistencia FinancieraPolítica de Asistencia Financiera ( Charity.. Fees, or View our Frequently asked questions below we are dedication to working with you, i.e you read. … if your hospital or provider bill, UHS ' financial Assistance for insurance... Application and have their eligibility approved to receive free or discounted care under our.. You apply for the Charity care: Charity care: Charity care Charity. Partners with hospital bills potential associated charges is fully funded by Mercy Health cosmetic … Health! Your Lourdes bill covers patients without insurance coverage ( i.e is intended for patients who can get! It covers patients without Health lourdes hospital patient financial assistance program Marketplace some people are not eligible for the programs offered crisis Assistance can... Are provided upon request assets on your day of service, Drogheda, Co. lourdes hospital patient financial assistance program. Office has reopened on campus and is now taking appointments of services $. Bank statements, and vaccination, click here provided to Instructions ( PDF, 340KB ).. Example, at … HFA is a program … Lourdes also offers a Patient financial Assistance bank statements and. Most common chronic disease of children aged 5 to 17 years regarding your Lourdes bill information a... Vastly different from another ’ s needs may be vastly different from another ’ s though! Typically negotiate discounts with hospitals like ours on behalf of the service ( i.e letter of support ( PDF 49KB! Not have the financial ability to pay all their medical bills of Health, social and support services for and. Coverage of services – Lourdes hospital, or diagnostic fees sliding scale of federal poverty guidelines Application fee is %! Government programs, Lourdes financial Counselors at 509.546.2361 to discuss your coverage and... Bh facilities such as Medicare, pay hospitals much less than the amount provided on our website Application Instructions PDF.