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Carondelet Health Network

Financial Assistance Program

Summary of our Financial Assistance Policy

Uninsured or underinsured and need assistance to pay your bill for emergency or other medically necessary care at Carondelet Health Network. 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 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 (888)-233-7868 or visit us in the Admitting and Registration Department. At your request, a copy of the Financial Assistance Policy and an application form will be mailed to you at no charge. Also, these documents and this Summary are available on our website at https://www.carondelet.org/patients/financial-assistance-program/financial-assistance-policy-english. In addition, we have identified following government or nonprofit organizations as potential sources of assistance with your applications for other coverage or financial assistance: The Arizona Department of Economic Security (DES) - https://des.az.gov/ Pima Community Access Program - http://mypcap.org/ NOTE: In some cases, patients may be awarded the financial assistance without a formal application. Details are outlined in the Financial Assistance Policy.
Email CFAC@coniferhealth.com
Fax# 714-937-2288

Additional Resources

Financial Assistance Policy - English

Finding financial help for hospital bills can be difficult. Carondelet is here to help.

Financial Assistance Policy - Spanish

Finding financial help for hospital bills can be difficult. Carondelet is here to help.

Resumen de Nuestra Política de Asistencia Financiera

¿No tiene seguro o tiene un seguro insuficiente y necesita asistencia para pagar su factura de atención de emergencia u otra atención necesaria desde el punto de vista médico en Carondelet Holy Cross? Puede ser elegible para recibir asistencia financiera.

Conforme a nuestra Política de Asistencia Financiera, ofrecemos atención con descuento para atención de emergencia u otra atención necesaria desde el punto de vista médico para pacientes que califiquen. Los pacientes pueden calificar para la atención con descuento en los siguientes casos:

  1. El ingreso familiar bruto es inferior al 200 % del Nivel de Pobreza Federal en vigencia al momento de la solicitud; o
  2. El ingreso familiar bruto se encuentra entre el 200 % y el 300 % del Nivel de Pobreza Federal al momento de la solicitud, y los cargos del hospital en los últimos seis meses superan el doble del ingreso familiar bruto anual del paciente.

En ningún caso se cobrará a un paciente que califique para recibir asistencia financiera más de lo que generalmente facturamos a las personas que tienen un seguro que cubre esa atención.

Además de su solicitud completa, podemos exigir documentos que acrediten sus ingresos, activos y gastos médicos para determinar si usted califica para recibir asistencia. Si no califica para recibir asistencia financiera, aún puede ser elegible para la tarifa plana del centro médico u otros descuentos según la política del hospital.

Para obtener más información o si tiene preguntas, comuníquese con nosotros al (888)-233-7868 o visítenos en el Departamento de Admisión y Registro. Si lo solicita, le enviaremos por correo una copia de la Política de Asistencia Financiera y un formulario de solicitud sin cargo. Además, estos documentos y este Resumen están disponibles en nuestro sitio web en https://www.carondelet.org/patients/financial-assistance-program/financial-assistance-policy-spanish.

También hemos identificado las siguientes organizaciones gubernamentales o sin fines de lucro como posibles fuentes de asistencia con sus solicitudes para otra cobertura o asistencia financiera:

Departamento de Seguridad Económica (Departament of Economic Security, DES) de Arizona: https://des.az.gov/

Programa de Acceso de la Comunidad Pima (Pima Community Access Program): http://mypcap.org/

NOTA: En algunos casos, los pacientes pueden recibir la asistencia financiera sin una solicitud formal. Los detalles se describen en la Política de Asistencia Financiera.