St. John Health System has a commitment to and respect for each person’s dignity with a special concern for those who struggle with barriers to access healthcare services. St. John Health System has an equal commitment to manage its healthcare resources as a service to the entire community. In furtherance of these principles, St. John Health System provides financial assistance for certain individuals who receive emergency or other medically necessary care from St. John Health System. This summary provides a brief overview of St. John Health System’s Financial Assistance Policy.
You may be eligible for financial assistance with your hospital and/or physician bill. Financial assistance is generally determined by your total household income compared to the Federal Poverty Level (FPL). If your income is less than or equal to 250% of the FPL, you will receive 100% charity care write-off on the portion of the charges for which you are responsible less the charity care copay amounts for services rendered. Emergency and or Inpatient services will have a copay due of $100.00 per visit. Outpatient hospital services will have a copay due of $25.00 per visit. If your income is above 250% of the Federal Poverty Level but does not exceed 400% of the Federal Poverty Level, you may receive discounted rates on a sliding scale.
Patients who qualify for presumptive charity will be billed a copay amount. Emergency and or Inpatient services will have a copay due of $100.00 per visit. Outpatient hospital services will have a copay due of $25.00 per visit. Patients who are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage.
To apply for financial assistance, you will need to complete a written application and provide supporting documentation, as described in the Financial Assistance Policy and the Financial Assistance Policy application. To obtain an application, receive assistance with the application and/or receive additional information regarding eligibility requirements, please call 888-329-0421 or visit the Financial Assistance Office, Monday through Friday from 8:00 am to 5:00 pm.
For additional information regarding the St. John Health System Financial Assistance policy, application form, or information in other languages please reference the document links below.