What is Charity Care?
Hospital financial assistance and charity care help people and families in Washington pay for hospital services. Financial assistance and charity care provide either free or reduced-price care, depending on your eligibility and income.
Who is Eligible for Charity Care?
Charity Care is generally for people who do not have other financial resources available, such as insurance, government programs, or regular income.
To receive financial assistance and charity care your income level must be within our guidelines. If your income is within our guidelines, you can get assistance with coinsurance and deductible balances even if you are insured. To receive financial assistance and charity care, you cannot be involved in a work related injury or auto accident or similar situation where someone else has a legal responsibility to pay for the costs of hospital care.
How do I Apply?
Application for Charity Care includes a completed Financial Statement and proof of income for the past twelve-months including any recent changes to your financial situation in the last 90 days, for the responsible person and spouse, using any of the following:
- Payroll check stubs
- Most recent IRS tax returns
- Unemployment compensation records
- Letter of support from individuals providing basic needs
- Notice of benefits from government programs
Who Sees My Application?
Your application and all information relating to it will be kept strictly confidential.
When Will I Know if I am Eligible?
Within fourteen days after receiving your application, the hospital will notify you in writing.
What Happens if I am Eligible?
Your written notice will include the level of discount allowed. If outstanding balance is not paid, the hospital reserves the right to cancel Charity Care discounts and assign unpaid balances to a collection agency.
What if I’m Not Eligible?
Denial notices will include the reason for the denial, payment terms, and instructions for appeal. You may appeal the decision by providing additional proof of income or family size within 30 days. All appeals will be reviewed by the Assistant Administrator of Business Services and the Chief Financial Officer. You will receive written notice of their final decision.
What About My Other Medical Expenses?
The hospital’s decision to provide Charity Care does not affect your financial obligation to your physician or other healthcare providers.
Financial assistance and charity care do not cover transportation costs or care that is not medical necessary or elective, such as cosmetic procedures, and do not cover doctors’ or clinic-based services.
Where Can I Get More Information or Help?
For help with your application, or if you need more than 14 days to complete it, contact your Financial Services Representative at (360) 618-7620.
Applications may be obtained in person from Patient Financial Services or by this link.
Cascade Valley HospitalPatient Financial Services
330 S. Stillaguamish Ave Arlington WA 98223
Phone: (360) 618-7620