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Financial Assistance

Financial Assistance Plain Language Summary

As part of our commitment to the health care needs of our community Butler Health System (BHS) has instituted this program designed to provide financial assistance to our patients who may not be able to pay for part or all of their care provided they do not have active insurance in another covered network of providers. BHS provides financial assistance to patients in the following counties, Butler, Lawrence, Armstrong, Mercer, Venango, Clarion, Indiana, Jefferson, and Allegheny based on their income and financial needs. We provide financial counseling services and will be able to help you determine your eligibility for insurance through the Department of Human Services.

A Courtesy discount will be offered to patients with no insurance coverage, and who do not qualify or choose not to apply for our Charity Care program. Patients who are responsible for the entire balance will have their gross charges reduced by a percentage equal to the Amounts Generally Billed to patients with insurance. The percent will be calculated at the beginning of each fiscal year based on the Medicare and negotiated commercial insurance rates in effect at that time.

Eligibility for Financial Assistance will be determined through an application process which requires the patient or the patient’s guarantor to cooperate and supply the following documents: Federal Tax return, applicant and spouse income for the last thirty days, number of dependents, and bank statements relevant to making a determination of financial need. Charity Care will be determined based on income and size of family. We will follow the Federal Poverty guidelines when determining the patient eligibility. Patients will receive Financial Assistance in a range of 100%, 75%, or 50%.

Presumptive Eligibility for Charity Care will be considered at 100% in instances when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to lack of supporting documentation. In the event there is no evidence to support a patient’s eligibility for charity care, Butler Health System will use one or more of the following criteria to make a determination: patients who qualify for section 8 housing, patient is deceased and no estate, Food Stamp eligibility, patient is homeless or received care from a homeless clinic, and family or friends of a patient that provide information establishing the patient’s inability to pay.

To apply or inquire about our Financial Assistance Policy please contact:

Butler Memorial Hospital One Hospital Way Butler PA 16001 OR Call 724-284-4460

Clarion Hospital One Hospital Drive Clarion PA 16214 OR Call 814-393-6042

You can also email your application to: patientfinancialservices@butlerhealthsystem.org

For Butler Medical Providers contact the office at 724-284-4022 or visit our Physician office locations. You may also email: BMPpatientsaccounts@butlerhealthsystem.org.

Obtain a copy of the BHS Financial Assistance Policy – Click Here

Obtain a copy of Financial Assistance Application – Click Here

Information is available at all of our locations including in the hospital handbook, and on patient statements.

Thank you for entrusting Clarion Hospital with your health care needs.

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