Patients

Financial Assistance Program

As part of our mission to improve the health and well-being of the people in the communities we serve we understand some may need assistance in fulfilling their financial obligation to the facility. Patients with family income at or below 200 percent of applicable federal poverty guidelines who lack sufficient funds to pay their bill are eligible for financial assistance. In addition, patients with significant medical bills and income above 200 percent of applicable federal poverty guidelines may be eligible for financial assistance. Once eligibility is determined, the application will be reviewed to determine whether all or a portion of the patient’s medical bill will be forgiven.

All patients who believe they may be eligible for financial assistance are encouraged to apply by completing a financial assistance application. To find out more about the Financial Assistance Program, please visit the hospital or call 214-647-5366 and one of our verification specialists will assist you.

Our Financial Assistance Program may be reviewed in its entirety below.

English Summary of Financial Assistance Policy
Financial Assistance Program Policy (English)
Financial Assistance Program Application (English)

Resumen en términos sencillos de la política sobre asistencia financiera
Financial Assistance Program Policy (Spanish)
Financial Assistance Program Application (Spanish)

财政援助政策之简明语言概要
Financial Assistance Program Policy (Mandarin)
Financial Assistance Program Application (Mandarin)

Упрощенная краткая информация о политике финансовой помощи
Financial Assistance Program Policy (Russian)
Financial Assistance Program Application (Russian)

Tóm Tắt Dễ Hiểu Về Chính Sách Hỗ Trợ Tài
Financial Assistance Program Policy (Vietnamese)
Financial Assistance Program Application (Vietnamese)