Financial Assistance

You may be eligible for financial assistance under the terms and conditions Providence Hospital offers to qualified patients. Below is a summary of our Financial Assistance Policy.

Policy: Financial Assistance

In a manner consistent with the philosophy and mission of Ascension Health, Providence Hospital shall provide all available health care services to the sick and injured in emergency situations. All people have the right to enjoy adequate health care. This inherent right shall not be abridged on the basis of race, religion, sex or national origin. Respect for the dignity of the individual will be maintained at all times.

Definitions:

• The Poor – Those persons so classified by the organization rendering the service.
• Bad Debt – Bad Debt accounts are those accounts determined to be delinquent after all collection procedures have been concluded without payment or response from the guarantor, the accounts are transferred to a collection agency or attorney for further collection procedures.
• Charity Care –  A patient is classified as a charity patient in accordance with certain established policies of the Hospital.  Essentially, these policies define charity services as those services for which no payment is anticipated.  In addition to providing charity care, the Hospital provides other services for the general community.  The cost for providing these services is included in operating expenses.

Procedure

The Patient Accounts Representative will provide a financial statement to any patient/guarantor who requests one, or anyone the Patients Accounts Representative feels may be a candidate for charity.  At times it may be necessary to take this information over the telephone, with the condition that the patient will mail all supporting documentation within two weeks if the personal credit history does not match the financial statement. 

Income is defined as total cash receipts before taxes from all sources.  These include money, wages, and salaries before deductions, receipts from self-employment (includes farm income after deduction for expenses), payments from public assistance, social security, unemployment, workers’ compensation, strike benefits, child support, military allotments and any other sources of income.

Contact Information

A Patient Account Representative may be contacted at 251-633-1566 for any additional information.

To download a copy of our financial assistance application, please click here.