Charity Care and Financial Assistance

Charity Care and Financial Assistance

PinnacleHealth provides charity care (free care) and financial help for people who can’t pay for the healthcare 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.

Charity Care

Charity Care means free care. People can receive charity care if they meet all of the following three criteria:

  • Don’t have insurance coverage for the services they need
  • Can’t receive governmental or other insurance coverage
  • Have a family income below 250% of the Federal Poverty Level

Patients who are insured and have a family income below 200% of the Federal Poverty Level may also receive charity care in some cases.

Financial Assistance

Financial assistance means care at a lower (discounted) rate. People can receive financial help if they meet all of the following three criteria:

  • Don’t have insurance coverage for the services they need
  • Can’t receive governmental or other insurance coverage
  • Have family income above 250% (but not over 400%) of the Federal Poverty Level.

Uninsured Individuals

An uninsured person is someone 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.

In addition to comparing the income amounts to the Federal Poverty Levels, total resources available will be reviewed. Charity Care or financial assistance may not be offered to those patients that have sufficient resources to pay, and for whom the use of those resources would not cause undue hardship.

Charity Care and Discount Rates

% of Federal Poverty Levels      Discount Category        Discount %
0% - 250% Charity Care 100%
251% - 300% Financial Assistance 80%
301%-400% Financial Assistance 60%

Applying for Charity Care or Financial Assistance

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 last filed Federal tax return including all schedules
  • 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:

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.

Note: Except in the case of those individuals within 200% 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.

With the individual insurance mandates that have taken effect as part of the Affordable Care Act and the creation of Healthy PA, refusal or unwillingness on the patient’s part to enroll in a subsidized insurance plan could impact the level of financial assistance provided through this policy.

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