Eligibility and assistance
Once you have used all other payment options (such as insurance coverage, health spending accounts, governmental assistance programs, etc.), you may be eligible for our Financial Assistance Program. Levels of discounts available for eligible patients are:
Uninsured or Underinsured Discount
If you are uninsured or your health insurance does not cover emergency or medically necessary care provided by a Baptist Health Deaconess hospital, then you will be allowed a discount that limits your payment responsibility to the amounts generally billed to individuals who have insurance covering such care.
If your family income is between 300 percent and 1,200 percent of the federal poverty level, then you may be eligible for partial assistance. Patients have a total yearly obligation of 10 percent of their annual income plus liquid assets. Above 1,200 percent patients have a total yearly obligation of 20 percent of their annual income plus liquid assets.
If your family income plus liquid assets are less than 300 percent of the federal poverty level, then you may be eligible for full assistance.
How do I apply?
Applications and copies of the policy are available in English and Spanish. (Other translations may be available.) A copy of the full Financial Assistance Policy and an application may be obtained by:
Accessing the Application
Request a Copy
Request a copy from the Financial Counseling Office of Baptist Health Deaconess.
Contacting Customer Service for a copy to be mailed to your home address.
Once the form is completed, and the requested documentation included, submit your application to your local hospital's Financial Counseling office.
Our Financial Assistance Policy will not apply to any services provided by physicians and other health care providers who bill separately and who provide services within each Baptist Health Deaconess Hospital, however, physician groups may have their own separate policies.
Foreign Language Applications