Ascension Saint Thomas Behavioral Health Hospital

In accordance with our Mission and Core Values, Ascension Saint Thomas is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. Ascension Saint Thomas offers Financial Assistance and Financial Counseling to address any financial concerns patients or families may have regarding their care.

Our financial assistance policies reflect Ascension Saint Thomas's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations.

If you would like to discuss options for paying your current bill(s) or to request a Financial Assistance application, please contact us.

For additional information regarding Ascension Saint Thomas's Financial Assistance policy and for the Financial Assistance application form, please reference the documents included below.

Download Documents

English

• Financial Assistance Program Summary
• Financial Assistance Policy
• Providers Covered by the Financial Assistance Policy
• Financial Assistance Application
• Health Billing and Collections Policy
• Amount Generally Billed Calculation

Spanish

• Spanish Financial Assistance Application
• Spanish Financial Assistance Program Summary
• Spanish Providers Covered by the Financial Assistance Policy
• Spanish Financial Assistance Policy
• Spanish Health Billing and Collections Policy
• Spanish Amount Generally Billed Calculation

Arabic

• Arabic Financial Assistance Application
• Arabic Financial Assistance Program Summary
• Arabic Providers Covered by the Financial Assistance Policy
• Arabic Financial Assistance Policy
• Arabic Health Billing and Collections Policy
• Arabic Amount Generally Billed Calculation

Vietnamese

• Vietnamese Financial Assistance Application
• Vietnamese Financial Assistance Program Summary
• Vietnamese Providers Covered by the Financial Assistance Policy
• Vietnamese Financial Assistance Policy
• Vietnamese Billing and Collections Policy
• Vietnamese Amount Generally Billed Calculation

Simplified Chinese

• Simplified Chinese Financial Assistance Application
• Simplified Chinese Financial Assistance Program Summary
• Simplified Chinese Providers Covered by the Financial Assistance Policy
• Simplified Chinese Financial Assistance Policy
• Simplified Chinese Billing and Collections Policy
• Simplified Chinese Amount Generally Billed Calculation

Traditional Chinese

• Traditional Chinese Financial Assistance Application
• Traditional Chinese Financial Assistance Program Summary
• Traditional Chinese Providers Covered by the Financial Assistance Policy
• Traditional Chinese Financial Assistance Policy
• Traditional Chinese Billing and Collections Policy
• Traditional Chinese Amount Generally Billed Calculation

Laotian

• Lao Financial Assistance Application
• Lao Financial Assistance Program Summary
• Lao Providers Covered by the Financial Assistance Policy
• Lao Financial Assistance Policy
• Lao Billing and Collections Policy
• Lao Amount Generally Billed Calculation

Korean

• Korean Financial Assistance Application
• Korean Financial Assistance Program Summary
• Korean Providers Covered by the Financial Assistance Policy
• Korean Financial Assistance Policy
• Korean Billing and Collections Policy
• Korean Amount Generally Billed Calculation