CHI Franciscan Health is a part of Catholic Health Initiatives (CHI), a nonprofit health organization with a longstanding commitment to assist those who seek our care, regardless of ability to pay.
If you are unable to pay for all or part of the care you receive from our hospital, you may be eligible for free or discounted services. Please read the information below to understand:
- how eligibility for financial assistance is determined
- how to apply for financial assistance
This information is a summary of the national CHI policy. Please click here to read the policy in full.
For patient access, pre-registration and financial counseling please call 1-866-779-4347. Option 2 can be used for an estimate on a procedure.
PLEASE NOTE: Any patient seeking emergency care will be treated without regard to ability to pay.
How eligibility for financial assistance is determined
To determine your eligibility for financial assistance, we consider:
The medical necessity of services received. In short, medically necessary services save your life, make you well, or prevent a medical condition from becoming worse. There is a detailed definition of medically necessary services in the CHI policy.
Medical necessity will be determined by a physician. In determining medical necessity, we follow all requirements of the federal Emergency Medical Treatment and Active Labor Act and applicable laws and regulations.
Your ability to pay for the services. We look at income, family size, available resources and expected future income (minus living expenses).
- your family income is low
- free care may be available to patients with family income less than or equal to 130 percent of the Department of Housing and Urban Development (HUD)very low income guidelines for the area; and/or
- you are considered medically indigent. This means that paying the full cost of your medical care, after any health insurance payment, would cause you to become impoverished - this could apply if you are uninsured, underinsured, or suffer a catastrophic illness.
How to apply for financial assistance
When you are registered as a patient, we will ask about your coverage for health care services. If you don’t have coverage or it is not likely to be sufficient, we will either give you a packet of information that covers our financial assistance policy or offer the immediate assistance of a financial counselor, who will go over the financial assistance application with you.
You will need to complete the Financial Assistance Application form, provide all information it requests, and submit it to us.
If it is determined you are eligible for assistance, we will notify you and let you know how much assistance is available. If it is determined you are not eligible for assistance, we will let you know that in writing and give a brief explanation of the reason.
It’s important to note that if you do not have insurance, you will not be charged more for services than the amount generally billed to those who have insurance.
Financial Assistance Cover Letter
Financial Assistance Application Form
Spanish Financial Assistance Application Form
Questions? Call 253-396-6700
Self-pay patient discount
To ensure community-wide access to its services, CHI Franciscan Health provides the same average price discount to self-pay patients as it gives to commercial insurance companies.
Currently, self-pay patients receive a 60 percent discount on bills for our hospital services. Payment or satisfactory arrangements must be made within 60 days.
“Self-pay” refers to patients who have the ability to pay for hospital services but lack medical insurance and do not qualify for financial assistance.
This discount does not apply to established prices for self-pay services that are not covered by insurance, such as bariatric surgery and plastic surgery. Also, this discount does not apply to co-pays or deductibles for patients with medical insurance.
For more information about our Self-Pay Patient Discount, please contact our financial counselors at 253-396-6700.