Spirit of Caring
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 emergency 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 Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses.
Amount Generally Billed
Amount Generally Billed – If you qualify for partial support from CommonSpirit Health, learn the amounts generally billed/reimbursed for services at CommonSpirit Health hospitals.
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.
If you have questions regarding our policy or applications(s), please contact our Patient Advocate office at 1-844-286-5546.
To review the Financial Assistance Application, Financial Assistance Policy, Financial Assistance Plain Language Summary Policy, or our Billing and Collections Policy, please see below:
Financial Assistance Application
- Arabic
- English
- Spanish
- German
- Russian
- Vietnamese
- Simplified Chinese
- Traditional Chinese
- French
- Hindi
- Hmong
- Japanese
- Korean
- Portuguese (Brazil)
- Tagalog
Financial Assistance Policy
- Arabic
- English
- Spanish
- German
- Russian
- Vietnamese
- Simplified Chinese
- Traditional Chinese
- French
- Hindi
- Hmong
- Japanese
- Korean
- Portuguese (Brazil)
- Tagalog
Financial Assistance Plain Language Summary
- Arabic
- English
- Spanish
- German
- Russian
- Vietnamese
- Simplified Chinese
- Traditional Chinese
- French
- Hindi
- Hmong
- Japanese
- Korean
- Portuguese (Brazil)
- Tagalog
Billing & Collections Policy
- Arabic
- English
- Spanish
- German
- Russian
- Vietnamese
- Simplified Chinese
- Traditional Chinese
- French
- Hindi
- Hmong
- Japanese
- Korean
- Portuguese (Brazil)
- Tagalog
Addendum – Financial Assistance Policy Contact
- Arabic
- English
- Spanish
- German
- Vietnamese
- Simplified Chinese
- Traditional Chinese
- French
- Hindi
- Hmong
- Japanese
- Korean
- Portuguese (Brazil)
- Tagalog
- Russian
Financial Assistance Provider List
To view the list of providers that are COVERED by the Financial Assistance Policy, please click here.
To view the list of providers that are NOT covered by the Financial Assistance Policy, please click here.