Please call our insurance coverage hotline at 833-541-5757 for this free service and confidential assistance. Hospital Financial Assistance.com creates an easy to use online form to walk you step-by-step through your hospital’s financial assistance application and required supporting documents. You can also discuss concerns about paying your medical bills with your health care provider, social worker or the business office of your clinic or hospital. Financial Assistance Name Date of Birth Relationship to Patient Medicaid / Other Insurance Statement 1. If you have received a statement from us showing that you have a balance due, you can pay online through this resource. The application is … Each account will be automatically reviewed for a financial assistance discount prior to billing. Our not-for-profit hospitals provide high quality care to everyone, regardless of ability to pay. As part of our mission of "Caring for a lifetime," Blanchard Valley Health System provides options for both insured and uninsured patients who require emergency or medically necessary services at Blanchard Valley Hospital or Bluffton Hospital. For patients with balances greater than $1,500, and whose documented income is between 201 and 400 % of the Federal Poverty Level, we have an expanded charity policy that may reduce the amount you owe. Results for the Quarter 4 and Year Ended . June 30, 2017 2016-17 . Please submit the following items as part of your financial assistance application: 1. Our hospital is committed to providing useful information to our patients so you can understand the financial side of your healthcare needs. Completing the FAFSA is the key to finding out your eligibility for federal and state financial aid as well as some scholarships.. 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. ; Supply supporting documents listed on the application, including copies of tax returns and proof of income (e.g., pay stubs). Financial Assistance is the PeaceHealth program that provides emergent, medically necessary and some preventive pre-authorized services at a reduced cost or without charge when payment cannot be obtained through all other available financial resources. Benefits information above is provided anonymously by current and former Trident Medical Center employees, and may include a summary provided by the employer. 9330 Medical Plz DrCharleston, SC 29406. Financial Assistance Application If you do not have monthly income, please explain how you take care of your monthly expenses. We are committed to providing high quality rehabilitation care and services to our patients. In most cases, this will apply to patients who fall between 0 - 200% of the Federal Poverty Level. Equipment finance; Private lending; SMSF Strategy & Advice. Trident Medical Center is a 313-bed major medical center providing a comprehensive range of services and specialties including a 24-hour emergency room with a Level II Trauma Center. Certain government programs and nonprofit organizations can help. December 31, 2017 Unaudited Financial Results for the quarter and six months ended on. REQUEST FOR FINANCIAL ASSISTANCE OR MEDICAL INDIGENCY Thank you for requesting information regarding our Financial Assistance program, which would provide assistance for Roper Hospital, Bon Secours St. Francis Hospital, Mount Pleasant Hospital, Roper Berkeley and the Roper St. Francis Physician Partners only. To receive assistance, patients need to fill out a form provided by calling our financial assistance team; this form can be mailed to you or picked up at your local Providence facility. The National Institutes of Health (NIH) is composed of U.S. government biomedical research institutions and is not authorized to provide routine medical assistance or treatment funds. The Net Price Calculator and shopping sheet will provide a preliminary estimate of federal, state and institutional aid eligibility, to help families gauge what aid the student may be awarded and to make arrangements to cover the cost of attendance. Our Financial Consultants will help you reach your financial goals. Financial Assistance, any payments made for the account balance that initiated the application will be refunded to the patient. If you have an accounting background and are interested in procedures like tax management and budget preparation, we’d like to meet you. 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