Financial Assistance

Financial Assistance for Patients

CommonSpirit Health understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CommonSpirit works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program

The CommonSpirit Health Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 400 percent of the Federal Poverty Level.

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses. If you qualify for partial support from CommonSpirit Health, learn the amounts generally billed/reimbursed for services at CommonSpirit Health hospitals, here:

Amount Generally Billed

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.

To review the Financial Assistance Policy, the Financial Assistance Plain Language Summary Policy, and the Financial Assistance Application, click here.

If you have questions regarding our policy or applications(s), please contact:

Financial Assistance Center
P.O. Box 660872
Dallas, TX 75266-0872
1-844-286-5546
CHIFA@coniferhealth.com

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