Locations

Saint Elizabeth's Medical Center

  • Hospital/Medical Center
  • Emergency Care
Hours Emergency Care:
Open 24/7

Urgent Care:
Mon-Fri: 11 a.m.-6 p.m.
Sat-Sun: 9 a.m.-noon
Appointments

Financial Assistance

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

Summary of Financial Assistance Policy

Ministry Health Care, part of Ascension, 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. Ministry Health Care has an equal commitment to manage its healthcare resources as a service to the entire community. In furtherance of these principles, Ministry Health Care provides financial assistance for certain individuals who receive emergency or other medically necessary care from Ministry Health Care. This summary provides a brief overview of Ministry Health Care’s Financial Assistance Policy.

Financial Assistance Policy Summary

Select a version:
- English 
- Spanish 
- Hmong

Financial Assistance Policy

Select a version:
- English 
- Spanish 
- Hmong

Who Is Eligible?

You may be able to get financial assistance. Financial assistance is generally determined by your total household income as compared to the Federal Poverty Level. If your income is less than or equal to 250% of the Federal Poverty Level, you will receive a 100% charity care write-off on the portion of the charges for which you are responsible. 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 are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage.

What Services Are Covered?

The Financial Assistance Policy applies to emergency and other medically necessary care. These terms are defined in the Financial Assistance Policy. Elective services are not covered by the Financial Assistance Policy.

How Can I Apply?

To apply for financial assistance, you typically will complete a written application and provide supporting documentation, as described in the Financial Assistance Policy and the Financial Assistance Policy application.

Financial Assistance Application

Select a version:
- English 
- Spanish 
- Hmong

How Can I Get Help with an Application?

For help with a Financial Assistance Policy application, you may contact Customer Service at 1-855-642-2455 or 1-866-832-1120.

How Can I Get More Information?

Copies of the Financial Assistance Policy and Financial Assistance application form are available free of charge:
1. By request at any Ministry Health Care hospital or clinic.
2. By calling our Customer Service team at 1-855-642-2455 or 1-866-832-1120.

What If I Am Not Eligible?

If you do not qualify for financial assistance under the Financial Assistance Policy, you may qualify for other types of assistance. For more information, please contact Customer Service at Ministry Health Care by telephone at 1-855-642-2455 or 1-866-832-1120. 

If you do not qualify, but believe there are other reasons or circumstances we should consider, you may file an appeal using the following form:

Select a version:
- English 
- Spanish 
- Hmong 

Working with local, state and national leaders, we advocate for solutions to cover the uninsured and underinsured. In addition to our Financial Assistance Program, these resources provide helpful information:
Your Connection to Programs for Health, Nutrition and Child Care
Government Health Insurance Finder
"From Coverage to Care: A Roadmap to Better Care and a Healthier You" PDF from the Center for Medicare and Medicaid