Patient Services

Financial Assistance


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, we work 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 emergent/urgent and/or medically necessary 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 CommonSpirit Health Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses. 

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.

Financial Assistance Forms and Policies

Financial Assistance Policy and Procedure

Collections Policy and Procedure

 

Financial Assistance Summary - Plain Language Summary

 

Financial Assistance Application

 

Amount Generally Billed

If you qualify for partial support from CommonSpirit Health, learn the amounts generally billed/reimbursed for services at CommonSpirit Health.

Questions?

For questions regarding our policy or form(s), please call 713.378.7961.

Provider Listings

Financial Assistance Policy and Procedure

Collections Policy and Procedure

 

Financial Assistance Summary - Plain Language Summary

 

Financial Assistance Application

 

Amount Generally Billed

If you qualify for partial support from CommonSpirit Health, learn the amounts generally billed/reimbursed for services at CommonSpirit Health.

Questions?

For questions regarding our policy or form(s), please call 844.286.5546.

Provider Listings

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