The following statement satisfies the list of providers that do and do not follow the financial assistance policy.
Notice 2015-46, Section 03.02 allows a hospital facility to specify providers by reference to a department or a type of service. All departments in the hospital follow the financial assistance policy except for the following: emergency medical services, radiology interpretation services, pathology diagnostics, emergency room physicians, anesthesia services, and hospitalist.
Any person requiring medical care may request a determination of eligibility for uncompensated care prior to the service, after the service is provided or even after the collection action has begun (unless the account is moved to bad debt status, at which time the account will not be considered for uncompensated care), however, the hospital reserves the right to require proof of need.
This requirement will be proof of income or assets, as well as denials from public aid applications prior to a decision for uncompensated care. In addition, the hospital may require child care or child support payments, paycheck stubs, unemployment checks, IRS returns or any other information that is reasonable and necessary to substantiate the applicant’s income.
The hospital will give free care to Medicaid patients that we do not have a current contract with.
The hospital will give free care to expired patients without an estate.
The hospital will not consider applications for free care on elective procedures, such as cosmetic procedures that ultimately will not result in the loss of life or limb if not performed.
A FAP-eligible individual may not be charged more than AGB for emergency or medically necessary care.
Families with more than 8 persons, add $4,540 per person.
Uncompensated care will be given based on this eligibility scale.
- 100% to 150% of poverty level for family size = 100% uncompensated care
- 151% to 175% of poverty level for family size = 75% uncompensated care
- 176% to 200% of poverty level for family size = 60% uncompensated care
If an applicant does not receive 100 percent of uncompensated care, they will be required to set up payment arrangements on the remaining balance should they not be able to pay in full.
Any employee that has prior payroll deductions arranged cannot apply for uncompensated care on that balance. Uncompensated care can only be determined on current accounts for employees.
For those patients who are currently enrolled in a commercial insurance plan or any government-sponsored plan, their application will be processed based on 100 percent of the poverty level income guidelines.