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Parkview Medical Center Charity Policy

View the Spanish version of Charity Policy.

Policy

Parkview Medical Center provides quality healthcare services to all patients, without discrimination, regardless of their ability to pay.

Those patients without the income, financial resources or third party insurance coverage to pay for hospital services shall be deemed by Parkview Medical Center to be in need of financial or charity assistance.

Charity is not considered to be a substitute for personal responsibility. Patients are expected to cooperate with Parkview Medical Center's procedures for obtaining charity or other forms of payment or financial assistance, and to contribute to the cost of their care based on their individual ability to pay.

Definitions

Charity/Financial Assistance: The inability to pay for medical services.

Family: Using the Census Bureau definition, a group of two or more people who reside together and who are related by birth, marriage, or adoption. According to Internal Revenue Service rules, if the patient claims someone as a dependent on their income tax return, they may be considered a dependent for purposes of the provision of financial assistance.

Uninsured (Self-Pay): The patient has no third party insurance coverage to pay for hospital services.

Underinsured: The patient has third party insurance coverage which pays for a portion of hospital services leaving the patient with out-of-pocket expenses that exceed his/her financial abilities.

Emergency medical conditions: A sudden medical condition where the absence of immediate medical attention could result in placing the individual' health in serious jeopardy or result in serious impairment to bodily functions or serious dysfunction of bodily organs or parts.

Medically necessary: As defined by Medicare (services or items reasonable and necessary for the diagnosis or treatment of illness or injury).

Procedures

Services Eligible Under this Policy

For purposes of this policy, “charity” or "financial assistance" refers to healthcare services provided by Parkview Medical Center without charge or at a discount to qualifying patients. The following healthcare services are eligible for charity or financial assistance:

  1. Emergency medical services provided in an emergency room setting
  2. Services for a condition which if not promptly treated, would lead to an adverse change in the health status of an individual
  3. Non-elective services provided in response to life-threatening circumstances in a non-emergency room setting
  4. Medically necessary services, evaluated on a case-by-case basis at Parkview Medical Center's discretion

Eligibility for Charity

Eligibility for charity will be considered for those individuals who are uninsured, underinsured, ineligible for any government health care benefit program, and who are unable to pay for their care, based upon a determination of financial need in accordance with this Policy. The granting of charity shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, social or immigrant status, sexual orientation or religious affiliation.

Parkview Medical Center will look at other sources of payment prior to offering Charity Care such as CICP (Colorado Indigent Care Program) or Medicaid/CHP+.

Charity Care requests may be initiated by the patient, guarantor or responsible party, employee, physician, or other relevant person.

Eligibility Evaluation

Patients will be asked to complete a Charity Care resource application and provide supporting documentation which may include the following:

  1. Photo identification
  2. Family size
  3. Income documentation
    • Income Tax Return
    • Copies of last month pay stub(s)
    • If married, copies of last month pay stub(s) for spouse
    • Expenses (including medical bills)

The Charity Care resource application will be reviewed and approval will be based on Federal Poverty Level Guidelines (FPL). The approval is effective for 6 months. The patient will be informed of their patient responsibility.

For example, a family of four could earn up to $58,875 and be eligible for CICP: or could earn up to $95,400 and be eligible for Parkview's in-house Charity Care.

If unable to pay in full, the patient may contact a Patient Financial Services Representative at Parkview Medical Center to make payment arrangements by calling 719.584.4045. A minimum payment of $25.00 per month is required.

Payment Plan Guidelines

  • A 60% self-pay discount is available to patients with no insurance
  • A 10% prompt-pay discount is available to patients on balances after insurance, if paid in full within thirty (30) days of initial statement
Balance Payment Term
$0-$499 3 months to pay off balance
$500-$999 6 months to pay off balance
$1,000-$1,499 12 months to pay off balance
$1,500 and greater

18 months to pay off balance

Additionally, Parkview offers bank loan financing on balances of $300 or greater. Current interest rate ranges from 5.25 to 6% depending on amount financed.

Federal Poverty Level Guidelines

Financial Assistance

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400 West 16th Street, Pueblo, CO 81003

719.584.4000