![]() ![]() Additionally, your account will be sent to a collection agency if you indicate at any time that you will not pay your bill or the written notices are returned due to an invalid address. If you have not submitted payment or made payment arrangements with us after the four written notices, we will send your account to a collection agency. You will always have the ability to ask us for an itemized statement or contact a customer service employee about your bill. These contacts will occur over a 120-day period from the first attempt to contact you. An initial statement with a summary of your charges.You will receive a series of written notices for your bills in the following order: We are always willing to work with patients who make reasonable efforts to pay for their care. If you do not pay what you owe for your services, you eventually will be turned over to a collection agency but only after several billing notices and attempts to contact you. If approval is granted by Financial Assistance, payments can be delayed to a maximum of 90 days after submission.Ĭollections Policy, Account Statements and Contact Attempts Patient co-pay amounts are to be paid in full at the time of Financial Assistance application submission.Patients are subject to co-pay and/or cost share amount based on their specific Federal Poverty Level and Federal Poverty Guideline matrix. All patients are required to make a financial contribution towards their bill.However, even if you have a modest income, we expect everyone to contribute something to the cost of his or her care. We work hard with every patient to arrange payment for care. We will run a credit report to verify all the information provided on the application for the financial assistance program. Prior Year Filed Tax Forms (1040 forms and corresponding schedules).Last month’s/quarter’s statement from any Other Asset Accounts (i.e., Retirement funds (401k, 403b, 503b, IRA, etc.) insurance policies, investments, life insurance distribution, legal settlement funds, etc.).Last month’s Bank Statements (include linked accounts, all pages).Recent month of Pay Stubs and/or other Source of Income (social security, unemployment, child support, alimony, etc.).Proof of application for state or other welfare programs.Insured patients 101 percent to 400 percent of Federal Poverty Guidelines will be considered for the Financial Assistance Program.Insured patients up to 100 percent of Federal Poverty Guidelines will be considered for the Financial Assistance Program regardless of the account balance.A payment, denial (denials due to lack of patient cooperation will not be considered), or benefit summary from primary insurance must be secured prior to consideration of Financial Assistance eligibility.Insured patients are required to apply for government program assistance.Patients with Federal Poverty Level greater than 400 percent of the Poverty Guidelines can be evaluated for a payment plan.Uninsured Patients with Federal Poverty Level less than 400 percent of the Federal Poverty Guidelines will be considered for the Financial Assistance Program. All screenings are based on the patient’s financial status at the time of service. The Financial Assistance Program may not be used for cosmetic, bariatric procedures, fertilizations, in addition to package price discounts, same day self-pay discounts, or any other non-medically necessary procedures. Who Qualifies for the Financial Assistance Program? If denied for these programs, the Financial Assistance Specialist will assist with eligibility for the Financial Assistance Program. Based on the financial status at the time of service, the Financial Assistance Specialist will assist with eligibility for the following: Medicaid, County Assistance, and the Health Insurance Exchange for insurance programs. Uninsured patients with no other payment source will be referred to a Financial Assistance Specialist. ![]() You may be eligible for the Financial Assistance Program for up to one year after service and/or 60 days after being denied from a governmental program. You must be a patient at Renown Regional Medical Center or Renown South Meadows Medical Center to use these services. Financial Assistance Specialists can help you with your healthcare financial responsibilities. Renown Health has a Financial Assistance Program (FAP) to provide discounts for patients in need. We understand that at times you may be unable to pay your hospital bills in full.
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