1. Purpose

E Medical Center is committed to providing financial assistance to patients who are unable to pay for all or a portion of their medical care. This policy establishes guidelines for identifying eligible patients, determining the level of assistance, and processing applications in a consistent, nondiscriminatory manner.

2. Scope

This policy applies to all medically necessary services provided by E Medical Center, including hospital, clinic, emergency, and outpatient services. Elective or non-medically necessary services are evaluated on a case-by-case basis.

3. Eligibility

Financial assistance may be available to patients who meet one or more of the following criteria:

• Uninsured or underinsured
• Household income at or below 200% of the federal poverty level
• Experiencing catastrophic medical expenses that significantly impact household income
• Qualifying for Medicaid, Medicare, or other public assistance programs

Eligibility is determined based on household size, income, assets, and special circumstances.

4. Application Process

Patients may apply for financial assistance at any time, including during a visit or after receiving a bill.

5. Determination and Assistance Levels

Applications are reviewed by the Patient Financial Services Department. Approved assistance may include:

6. Billing and Collections

Patients approved for financial assistance will not be pursued through collection activity for amounts covered by the approved assistance. Collection efforts for remaining balances will follow the hospital’s standard billing and collections policy.

7. Language Assistance and Accessibility

Applications and assistance materials are available in the primary languages of the communities served. Translation and interpretation services are provided at no cost to the patient.

8. Appeals

Patients who are denied financial assistance or who disagree with the amount of assistance awarded may appeal the decision by submitting a written request to the Compliance Officer within 30 days of the determination. The appeal will be reviewed by a committee and a final determination will be communicated in writing.

9. Contact Information

For applications and questions about financial assistance, contact Patient Financial Services.