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Washington Hospital Discount Policy For Uninsured

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Washington Hospital Discount Policy for Uninsured

Financial Assistance for Qualified Patients Also Available

In response to the rise in unemployment that has put many people at risk for losing their employer-provided health care coverage, Washington Hospital Healthcare System has enhanced its discount policy for uninsured patients who do not qualify for financial assistance.

This new policy - which was retroactive to July 1, 2008 - provides a 35 percent discount for both inpatient and outpatient medically necessary care for all uninsured patients who do not qualify for financial assistance. (Elective procedures such as cosmetic surgery are not eligible for the discounts.)  The previous policy provided a 25 percent discount for outpatient services and a 30 percent discount for inpatient services.

Also under the policy, residents of Washington Township Health Care District who are uninsured and do not qualify for assistance will receive an additional 10 percent discount, for a total discount of 45 percent.  Patients must show proof of residency in the district, such as a valid photo ID or a utility bill, in order to receive the additional 10 percent discount.

Washington Hospital also offers financial counseling for uninsured patients who are treated in the emergency room or admitted to the hospital to help them determine whether they are qualified for programs such as Medi-Cal or the hospital's discount policy.

Patients who are treated in the emergency room are provided with a packet of information regarding financial assistance. In addition to meeting income and assets guidelines for Medi-Cal, patients may fall into four different types of Medi-Cal coverage.

Financial Assistance for Qualified Patients

Washington Hospital also offers a Financial Assistance Program that provides for uninsured patients whose income is less than or equal to 350 percent of the federal poverty level.

Uninsured patients who do not qualify for any government-funded programs and who have an income that is at or below 350 percent of the federal poverty level may be eligible for assistance with medically necessary emergency care.

The federal poverty level and corresponding income that qualifies for financial assistance at Washington Hospital is based on the number of people in the family.  For example:

  • An uninsured single person can earn up to $36,400, which is 350 percent of the poverty level of $10,400.
  • An uninsured married couple can earn up to $49,000, which is 350 percent of the poverty level of $14,000.
  • An uninsured family of four could have an income of up to $74,200, which is 350 percent of the poverty level of $21,200.

To determine whether people are eligible for financial assistance, the hospital needs their most current tax returns, W2 forms and pay stubs for the past six months.  A driver's license or other photo ID also is required to protect against identity theft.  In some instances, patients also may be asked to provide current bank account statements or other financial records.

If you have any questions regarding financial assistance, please call Washington Hospital's Patient Accounting Department at (510) 791-3448.

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