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methodist patient assistance application

by Prof. Tyrell Krajcik Published 2 years ago Updated 1 year ago
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What is Houston Methodist's financial assistance policy?

Our Financial Assistance Policy provides information on how to apply, eligible services, eligibility criteria and the approval process. For your convenience, Houston Methodist has included a plain language summary of this policy as well as the financial assistance application.

How do I return my application to Ho Uston Methodist?

Please return completed application and supporting documents to any Patient Access team member, or fax to (832) 667 - 5995 or by mail to: Ho uston Methodist , Centralized Business Office ; Attn: Financial Assistance Unit ; 701 S. Fry Road; Katy, TX 77450.

What is the mission of Methodist Healthcare?

As part of our mission, Methodist Healthcare provides care to patients without financial means to pay for hospital services. Care will be provided to all patients who present themselves for care at any Methodist Healthcare facility without regard to race, creed, color or national origin and who are classified as financially or medically indigent.

What is the billing number for Methodist Health System?

What language is the Financial Assistance Policy?

What is discount care?

Does Methodist Health System offer financial assistance?

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About this website

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Methodist Healthcare System Financial Assistance Application

I understand Methodist Healthcare System (MHS) may verify the financial information contained in this Financial Assistance Application (“Application”) in connection with MHS’ evaluation of this Application, and by my signature hereby authorize my

Financial Assistance Application -final

Page 1 of 6 APPLICATION FOR THE METHODIST HOSPITALS, INCORPORATION HELPING HEART FINANCIAL ASSISTANCE PROGRAM Northlake Campus (219) 886-4584 Southlake Campus (219) 738-5508

Financial Assistance Policy and Application - Methodist Healthcare

As part of our mission, Methodist Healthcare provides care to patients without financial means to pay for hospital services. Care will be provided to all patients who present themselves for care at any Methodist Healthcare facility without regard to race, creed, color or national origin and who are classified as financially or medically indigent.

Financial Assistance | North TX Hospitals - Methodist Health System

Financial Assistance Methodist Health System financial assistance policy. Methodist Health System has a Financial Assistance Policy that provides free or reduced-cost hospital care for patients who have received non-elective care, do not meet the qualifications for Medicaid, and whose income is less than 100 percent (in most cases) of the federal poverty level.

REQUESTED DOCUMENTS - Methodist Health System

APPLICATION FOR HOSPITAL CHARITY ASSISTANCE Page 4 13. Do you or anyone who lives with you have any of the following (if “Yes”, give value):

Does Methodist Health System provide financial assistance?

As a part of its mission, Methodist Health System provides financial assistance to patients who lack the ability to pay for hospital services. This financial assistance is in addition to other discounts provided in your estimate of out of pocket cost. The determination of the ability to pay may take into account a number ...

Does Methodist Health System cover hospital bills?

All or a part of the hospital bill may be considered for financial assistance. As part of our mission and stewardship to the communities we serve, the Methodist Health System Financial Assistance Program will only cover hospital services rendered at any of our institutions that cannot be covered by any other payer including ...

What to do after discharge?

After discharge, you may be required to have a personal interview with a public assistance case worker. Speak with the Financial Assistance Department to determine payment option (s) Bring ID Card (insurance card) and Drivers License to Admitting/Registration. Submit doctor’s order with diagnosis.

Do you have to make payment arrangements before discharge?

Payment arrangements must be made before discharge. However, the hospital provides financial assistance applications to individuals with limited resources who need medical care. Our financial counselors can determine if your financial situation and/or illness could qualify you for a public assistance program.

What is Methodist Healthcare?

As part of our mission, Methodist Healthcare provides care to patients without financial means to pay for hospital services. Care will be provided to all patients who present themselves for care at any Methodist Healthcare facility without regard to race, creed, color or national origin and who are classified as financially or medically indigent.

What is an indigent patient?

A medically indigent patient is a person whose medical and hospital bills after payment by third party payers exceeds 1O percent of the person's annual gross income and the person is unable to pay the remaining bill. Methodist Healthcare may consider other financial assets and liabilities of the patient when determining ability to pay.

Does Methodist Healthcare consider financial assets?

Methodist Healthcare may consider other financial assets and liabilities of the patient when determining ability to pay. Financial assistance with respect to emergency and medically necessary care may be available to patients who do not qualify for state or federal assistance.

Financial Assistance

We are committed to working with all patients who need help to pay their medical expenses. If you have any questions about financial assistance please call 901-842-1255 for help with your bill.

Asistencia Financiera

Nos comprometemos a trabajar con todos aquellos pacientes que necesitan ayuda para pagar sus gastos médicos. Si usted tiene cualquier pregunta sobre asistencia financiera por favor llame al 901-542-5360 para ayuda con su cuenta.

Methodist Le Bonheur Healthcare Hospitals (Tennessee)

Política de Facturación y Cobro Para Las Cuentas Que Son Responsabilidad Del Paciente

What is the billing number for Methodist Health System?

To make payment arrangements or for answers to your questions about billing issues, contact the Billing Office. (402) 354-4230. Methodist Health System (MHS) is a not-for-profit healthcare organization guided by a commitment to its mission and core values through compassionate service.

What language is the Financial Assistance Policy?

The Financial Assistance Policy, a Plain Language Summary, and an application form are available in Spanish and other languages spoken by more than 5% of the residents in our service area.

What is discount care?

Discounted care is available to patients with limited assets and family income between two and four-times poverty. Patients not meeting these eligibility guidelines, but with extraordinarily high medical expenses, may also be eligible for medical hardship assistance.

Does Methodist Health System offer financial assistance?

For those with limited financial resources, Methodist Health System has established a financial assistance program to help pay for care.

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Eligibility

Type of Assistance

  • Family income and assets will be used to determine whether you receive free or discounted care. Free care is available to patients with limited assets and family income equal to or less than two-times the poverty level. Discounted care is available to patients with limited assets and family income between two and four-times poverty. Patients not meeting these eligibility guidelines, bu…
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Fees Charged Patients Eligible For Financial Assistance

  • Patients eligible for financial assistance will be expected to pay no more than the amount generally billed to patients covered by Medicare Fee-For-Service and all private commercial insurance, for their patient payment obligations for emergency and medically necessary care.
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How to Apply Or Obtain More Information

  • To request a complete Financial Assistance Policy, a Financial Assistance Application, information on amounts generally billed, or assistance completing the application, contact: 825 S. 169th St. P.O. Box 2797 Omaha, NE 68103-2797 (402) 354-4230 or 888-485-4494 Attn: Patient Financial Services 450 East 23rd Street Fremont, NE 68025-2387 (402) 941-7...
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Financial Assistance Forms

  • Financial Assistance Policy (English) Financial Assistance Policy(Spanish) Appendix A (Provider Lists; English) Appendix A (Provider Lists; Spanish) Appendix B - AGB %'s (English) Appendix B - AGB %'s(Spanish) Financial Assistance Brochure/Application (English) Financial Assistance Brochure/Application(Spanish) Plain Language Summary (English) Plain Language Summary(Sp…
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Availability of Translations

  • The Financial Assistance Policy, a Plain Language Summary, and an application form are available in Spanish and other languages spoken by more than 5% of the residents in our service area. (Spanish version of this webpage)
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