For Those Unable to Pay the Full Cost of Care

Hospital financial assistance

Catholic Health Initiatives understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, Catholic Health Initiatives works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

If you have questions regarding your application, please call 1-844-286-5546

How to access Financial Assistance, Translator and Interpreter Services

The program

The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. 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.

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.

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.

Financial assistance application

English

Chinese (Simplified)/简体中文

Chinese (Traditional)/繁體中文

Khmer/ភាសាខ្មែរ

Korean/한국어

Laotian/ລາວ

Spanish/Español

Russian/Русский

Vietnamese/Tiếng Việt

Financial assistance summary

English

Chinese (Traditional)/繁體中文

Spanish/Español

Khmer/ភាសាខ្មែរ

Korean/한국어

Laotian/ລາວ

Russian/Русский

Vietnamese/Tiếng Việt

Chinese/Zhōngwén

Financial assistance policy

English

Chinese (Traditional)/繁體中文

Spanish/Español

Khmer/ភាសាខ្មែរ

Korean/한국어

Laotian/ລາວ

Russian/Русский

Vietnamese/Tiếng Việt

Chinese/Zhōngwén

Financial assistance policy addendum 

English

Chinese (Simplified)/简体中文

Chinese (Traditional)/繁體中文

Khmer/ភាសាខ្មែរ

Korean/한국어

Laotian/ລາວ

Spanish/Español

Russian/Русский

Vietnamese/Tiếng Việt

Collections policy

English

Spanish/Español

Vietnamese/Tiếng Việt

Chinese/Zhōngwén

Physician listings

St. Michael Medical Center

St. Anne Hospital

Regional Hospital

St. Anthony Hospital, St. Clare Hospital, St. Francis Hospital, St. Joseph Medical Center

St. Elizabeth Hospital

Self-pay patient discount

To ensure community-wide access to its services, CHI Franciscan 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.