Financial Assistance Program
Summary of our Financial Assistance Policy
Uninsured and need assistance to pay your bill for emergency or other medically necessary care at any Carondelet Hospital? You may be eligible for financial assistance.
Under our Financial Assistance Policy, we offer discounted care for emergency or other medically necessary care to patients who qualify. Patients may qualify for discounted care if either:
1. Gross family income is less than 200% of the Federal Poverty Level in effect at the time of the application; or
2. Gross family income is between 200% and 300% of the Federal Poverty Level at the time of the application, and hospital charges in the past six months exceed twice the patient’s gross annual family income.
In most cases, patients who qualify for financial assistance will be expected to make a copayment to cover part of the cost of their care, but in no event will a patient who qualifies for financial assistance be charged more than the amounts we generally bill to individuals who have insurance covering that care.
In addition to your completed application, we may require documents evidencing your income, assets and medical expenses to determine whether you qualify for assistance. If you do not qualify for financial assistance, you may still be eligible for facility flat rate or other discounts under hospital policy.
For more information or if you have questions, please contact us at (520) 872-1263 or visit us in the Admitting and Registration Department at any hospital. At your request, a copy of the Financial Assistance Policy and an application form will be mailed to you at no charge.
In addition, we have identified following government or nonprofit organizations as potential sources of assistance with your applications for other coverage or financial assistance: