Financial Assistance

If you’re uninsured or have trouble paying for healthcare, Ascension may be able to help through our financial partnerships and resources.

St. Vincent’s Mission is to help those who are struggling. Our Health Outreach Patient Eligibility program (H.O.P.E.) aims to improve access to medical care for those experiencing financial hardships by enrolling those that qualify in financial assistance programs. These programs and services include:

  • Medicaid, including Medicaid PSN and Medicaid HMOs
  • Florida KidCare, Healthy Kids
  • Charity applications
  • Financial counseling and payment arrangements
  • Other State and Federally funded programs
  • Help finding a physician

Patients are supervised by a financial counselor throughout the entire process. To help the application process move along, applicants are encouraged to:

  • Be prepared to answer questions regarding household members and employment/income information. 
  • Bring their medical bill(s), personal forms and documents, and identification with them

H.O.P.E. Checklist

  • You must apply for and comply with the application process for any available local, state, or federally funded program for which you may qualify. Failure to do so will result in a denial of your application.
  • You are responsible for all medical service charges until your application for financial assistance is approved.

Please have the following items with you when you apply:

  • Applicant’s Proof of ID (submit at least two)
    • Examples include: a birth certificate, passport, alien registration card, picture ID, driver’s license
  • Household income information for the last 4 weeks
    • Examples include: check stubs, checking account showing income deposit, unemployment letter, signed letter of support if receiving no income

Additional information and/or documentation may be required to complete your application. All information is subject to verification. Providing false information may result in a DENIAL of any type of financial assistance.

Approval is subject to the assurance that you will apply for and assign to this facility any benefits available from insurance, liability insurance (PIP/Bodily Injury), Medicare, Medicaid, or public assistance as a result of our service provided to you. All other funding sources not limited to those listed above and including settlement funds take precedence to financial assistance.

 
English
Financial Assistance/Hope Application
Plain Language Summary of Financial Assistance Policy
List of Providers Covered by the Financial Assistance Policy
Charity Care Policy

Arabic ( عربى)
•المساعدة المالية/HOPE طل
ملخص سياسة المساعدات المالية
قائمة موفري الرعاية الذين تغطيھم سياسة المساعدات المالية
سياسة المساعدة المالية والخصومات لغير المؤمن عليھم والمؤمن عليھم بشكل غير كافٍ

French (Français)
Formulaire de demande d’aide financière/HOPE
Résumé de la Politique d’aide financière
LISTE DES PRESTATAIRES PRIS EN CHARGE PAR LA POLITIQUE D’AIDE FINANCIÈRE
Politique d’aide financière et de réduction pour les personnes non assurées ou sous-assurées

Haitian-French Creole (Kreyòl Ayisyen)
Aplikasyon HOPE/ pou asistans finansyè
Rezime Politik Èd Finansyè a
LIS PWOFESYONÈL SWEN SANTE KI GARANTI ANBA POLITIK ÈD FINANSYÈ
Politik Èd Finansyè ak Rabè pou Moun ki pa gen Asirans ditou oswa ki pa gen bon Asirans yo

Portuguese (Português)
Assistência financeira/Requerimento HOPE
Sumário da Política de Assistência Financeira
LISTA DE PROVEDORES COBERTOS PELA POLÍTICA DE ASSISTÊNCIA FINANCEIRA
Assistência financeira e política de desconto para não-segurados ou segurados por valor inferior 

Russian (русский)
Заявление на финансовую помощь/HOPE
Краткое содержание «Политики финансовой помощи»
СПИСОК ПОСТАВЩИКОВ, НА УСЛУГИ КОТОРЫХ РАСПРОСТРАНЯЕТСЯ ПОЛИТИКА ПРЕДОСТАВЛЕНИЯ ФИНАНСОВОЙ ПОМОЩИ
Политика предоставления финансовой помощи и скидок для незастрахованных или застрахованных ниже действительной стоимости лиц
 
 
Simplified Chinese
经济援助/HOPE申请
经济援助政策摘要
经济援助政策涵盖的提供商列表
适用于无保险或保额不足人士的经济援助和折 扣政策

Spanish (Español)
Asistencia Financiera/Solicitud HOPE
Resumen de la Política de Asistencia Financiera
LISTA DE PROVEEDORES CUBIERTOS POR LA POLÍTICA DE AYUDA FINANCIERA
Política de ayuda financiera y descuentos para personas no aseguradas o con seguro insuficiente

Tagalog (pilipino)
Tulong-Pinansyal/Aplikasyon para sa HOPE
Ang Buod ng Patakaran sa Tulong Pampinansiyal
LISTAHAN NG MGA PROVIDER NA SAKLAW NG PATAKARAN SA TULONG-PINANSYAL
Patakaran sa Tulong-Pinansyal at Diskwento para sa mga May Insurance o Kulang ang Insurance

Traditional Chinese
經濟援助/HOPE 申請
經濟援助政策摘要
經濟援助政策涵蓋的提供商清單
適用於無保險或保額不足人士的經濟援助和折 扣政策

Vietnamese (Tiếng Việt)
Đơn Đăng ký Hỗ trợ Tài chính/HOPE
Tóm Lược Chính Sách Trợ Giúp Tài Chánh
DANH SÁCH CÁC NHÀ CUNG CẤP ÁP DỤNG THEO CHÍNH SÁCH HỖ TRỢ TÀI CHÍNH
•Chính sách Giảm giá & Hỗ trợ Tài chính cho Người không có bảo hiểm hoặc bảo hiểm chi trả không hết