Financial Assistance for Patients
At CHI, creating healthier communities and advocating for the poor and vulnerable is both our mission and our passion. One way that we do this is through our CHI Financial Assistance program, where we reduce the costs of a patient’s medical bills based on their financial need.
How we can help
We offer free care for emergency, or other medically-necessary, services for our patients who have:
- An annual family income that is less than or equal to 300% of the federal poverty level, as determined by guidelines published annually by the U.S. Department of Health and Human Services (FPL);
- A minimum medical bill account balance of $35.00, for either a single or combined accounts;
- Cooperated with efforts to exhaust all other payment options; and
- Completed a program application, and provided supporting documentation to verify income.
NOTE: In some cases, patients may be awarded the financial assistance without a formal application. Details are outlined in the Financial Assistance Policy.
Fees charged patients eligible for financial assistance
Patients eligible for financial assistance will not be expected to pay more for emergency or other medically necessary care than the amounts generally billed to individuals who have insurance covering such care.
Ready to take the next step?
Complete the application and submit it to St. Vincent Business Office. The application is available in English, German and Spanish:
- Financial Assistance Application - English
- Antrag auf finanzielle Unterstützung - Deutsch
- Solicitud de asistencia financiera - Espanol
To receive a free copy of these documents by mail or in person, to receive help completing the application, or to request a free copy of these documents translated into a language not described, please contact:
CHI St. Vincent
Medical Eligibility and Counseling Services
2 St. Vincent Circle
Little Rock, AR 72205
These documents are also available in the Emergency Room, if any, and admissions areas of the hospital.
What providers are covered by the financial assistance policy?
About the Financial Assistance Program
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 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.
If you have questions regarding our policy or applications(s), please call 501-552-3138.