概述

酷游九州真人 is committed to offering 金融援助 to people who have health care needs and are not able to pay for care. 你可能是 able to get 金融援助 if you are not insured, under insured, not eligible for a government program, do not qualify for governmental assistance (for example Medicare or Medicaid), or who are approved for Medicaid but the specific medically necessary service is considered non-covered 按医疗援助分类. 酷游九州真人 strives to make sure that the financial capacity of people who need health care services does not prevent 他们无法寻求或接受治疗. 这是对弗拉格勒的总结 Hospital’s Charity Care and Financial Assistance Policy.

AVAILABILITY OF FINANCIAL ASSISTANCE

你可能是 able to get 金融援助 if you do not have insurance, are under insured, or if it would be a financial hardship to pay in full the expected out-of-pocket expenses for services at 酷游九州真人. Please note that there are certain service exclusions that are not typically eligible for 金融援助, including, but not limited to transplants, 化妆品服务和其他服务.

资格要求

Financial assistance is generally determined by a sliding scale of total household income based on Federal Poverty Guidelines. 当住户总数 income is less than 200% of FPL, a 100% discount from gross charges will 被应用. With respect to uninsured individuals, when the total household income between 201% and 300% of FPL, a 85% discount will 被应用. 当 the total household income is between 301% and 400% of FPL, an 75% discount 将分别应用.

With regard to balances after insurance payment (under insured), when the total household income is less than 200% of FPL, a 100% discount from 收取总收费. Under insured individuals with a total household income between 201% and 300% of FPL, a 25% discount from gross 将收取费用. 当 the total household income is between 301% and 400% of FPL, a 10% discount 将分别应用. 否则, uninsured self-pay patients who do not qualify for 金融援助 will be given an automatic discount of 50%.

Poverty Level Guidelines for Charity Care

资格要求 - CONTINUED

No person eligible for 金融援助 under the FAP will be charged more for medically necessary care than amounts generally billed to individuals who have insurance covering such care (AGB). 酷游九州真人确定 AGB based on all claims paid in full to 酷游九州真人 by Medicare and private health insurers (including payments by Medicare beneficiaries or insured individuals themselves), over a 12-month period, divided by the associated gross charges for those claims. 如果一个人有足够的 insurance coverage or assets available to pay for care, he/she may be deemed ineligible for 金融援助. 请参阅完整的政策 for a complete explanation and details.

在哪里查找信息

There are many ways to find information about the FAP application process, or get copies of the FAP or FAP application form. 申请财政资助 你可以:

• Download the information online at flaglerhospital.组织、关键字 金融援助
• Request the information in writing by mail or by visiting the 酷游九州真人 业务办公室 at 磨石广场100号，100套房 St. 奥古斯丁，佛罗里达州32086
• 通过打电话请求信息 904-819-4539

翻译的可用性

The Financial Assistance policy, application form, and the plain language summary are offered in English and Spanish. 酷游九州真人可以选择 to furnish translation aids, translation guides, or provide assistance through use of qualified bilingual interpreter by request. 的信息 about 酷游九州真人’s Financial Assistance Program and translation services, please call a representative at 904-819-4539.

如何申请

The application process involves filling out the 金融援助 form and submitting the form along with the supporting documents to Flagler 医院处理. You may also apply in person by visiting the 业务办公室 at the address listed below. 经济资助申请 are to be submitted to the following office:

业务办公室
磨石广场100号，100套房
St. 奥古斯丁，佛罗里达州32086

Requirement to Provide Estimates upon Written Request for All 病人 - Florida Agency for 卫生保健管理局.301 (7) F.S.: A licensed facility not operated by the state shall notify each patient during admission and at discharge of his or her right to receive an itemized bill upon request, within seven days following the patient’s discharge 或从许可设施释放.

Requirement to Provide Estimates for the Uninsured - Florida Agency for 卫生保健管理局.301 (8) F.S.: Uninsured patients have a right to receive an estimate of charges prior 非紧急服务. Please consult with a Financial Counselor at 904-819-4539 来帮助你完成这个请求.