Uninsured/Under Insured Insurance Counseling
PURPOSE:To acknowledge in written policy the existing practice and responsibility of this organization under section 501(c) (3) of the Internal Revenue Code to provide care, consistent with the scope of services provided by this organization, to indigent persons regardless of their ability to pay. This policy will define a process for determining the eligibility of a patient for receiving financial assistance for health care services.
POLICY:LPRH, as an integral part of our health promotion mission and community benefit responsibility, shall provide financial assistance to patients in need. Necessary clinical evaluation and care shall not be delayed, limited, withheld or withdrawn in order to inquire about or to determine eligibility for financial assistance, or based upon a determination that the patient does need such services.
See the policy below. The hospital offers 30 - 50% discounts based on insurance coverage and income requirements.
To request an application contact the Business Office Director at:email@example.com or call (928)669-7311
La Paz Regional Hospital and Clinics will offer a Sliding Fee Discount Program to all who are unable to pay and will not discriminate on the basis of age, gender, race, sexual orientation, creed, religion, disability, or national origin. The Federal Poverty Guidelines are used in creating and annually updating the sliding fee schedule (SFS) to determine eligibility.
The Sliding Fee Discount Program procedure will be administered through the Business Office Director or his/her designee. Information about the Sliding Fee Discount Program policy and procedure will be provided and assistance offered for completion of the application. Dignity and confidentiality will be respected for all who seek and/or are provided with charitable services.
The Business Office will keep detailed records of all Financial Assistance Program requests and approvals.
Federal Poverty Guidelines Application for Financial Assistance Program
This attachment will be updated yearly or sooner based on the Federal Government updating or changing this guideline.