Financial Assistance for Patients

Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CHI works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program

The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level.

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income.

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.

Financial Assistance Forms and Policies

CHI St. Luke’s Health Hospitals (Baylor St. Luke’s Medical Center, The Woodlands, Sugar Land, Lakeside, The Vintage, and Springwoods Village)

Financial Assistance Policy and Procedure

Collection Policy and Procedure

Financial Assistance Summary – Plain Language Summary

Financial Assistance Application Form

For questions regarding our policy or form(s), please call 832.355.8275 or 844.490.1247.

   

CHI St. Luke’s Health- Patients Medical Center

Financial Assistance Policy and Procedure

Collection Policy and Procedure

Financial Assistance Summary – Plain Language Summary

Financial Assistance Application Form

For questions regarding our policy or form(s), please call 713.378.7961 or 888.400.5750.

   

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