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Charity Care and Financial Assistance

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PinnacleHealth hospitals provide charity care (free care) and financial help for people who can’t pay for health care services they need. PinnacleHealth treats people who can’t pay their bills with the same respect and dignity that it shows to all of its patients.

 

Definitions:

Charity Care means free care. People can receive charity care if they are uninsured for the services they need; can’t receive governmental or other insurance coverage; and have family income below 250% of the Federal Poverty Level. Patients who are insured and have family income below 150% of the Federal Poverty Level may also receive charity care in some cases. 
 
Financial Assistance means care at a lower (discounted) rate. People can receive financial help if they are uninsured for the services they need; can’t receive governmental or other insurance coverage; and have family income above 250% (but not over 400%) of the Federal Poverty Level.
 
Uninsured means a person who does not have health insurance through an insurance company, an ERISA plan, federal health care program (Medicare, Medicaid, SCHIP and TRICARE), workers’ compensation, medical savings accounts or other coverage. Patients who have run out of insurance benefits are considered uninsured. 
 
Charity care and discount rates are provided below:
 
% of Federal Poverty Levels Discount Category Discount %
0% – 250% Charity Care 100%
251% - 300% Financial Assistance 80%
301% - 400% Financial Assistance 60%

 
 
 
 

Patients who want to apply for charity care or financial help should complete the Financial Aid Application . Patients will be asked to provide some or all of the documents below:
  • Pay stubs for past 2 months
  • Bank statements (checking & savings) for past 2 months
  • Copy of notice received from Social Security Administration indicating monthly benefit
  • Copy of notice received from Bureau of Unemployment for weekly benefit
  • Copy of any pension payments that are received monthly
  • Notice of current Medical Assistance denial or approval (if applicable)
Completed Financial Aid Applications can be mailed to the Financial Counselors, PinnacleHealth Hospitals, P.O. Box 2353, Harrisburg, PA 17105-2353. Each application is reviewed by our staff members. They will make sure it is complete and decide if the patient qualifies for charity care or financial help.

All applicants will be notified by phone or by letter about whether they are eligible for free or discounted care.

Except in the case of those individuals within 150% of the Federal Poverty Levels, this policy does not apply to patients who are insured. It is not the intent of this policy to provide free or discounted care to patients who have health insurance with deductibles or coinsurance.

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