Skip to main content

Charity Discount Policy

Financial relief may be available to patients who have received non-elective care and do not qualify for state or federal assistance and are unable to establish partial payments or pay their balance. In most cases, this will apply to patients who fall between 0 - 200% of the Federal Poverty Level. Federal Poverty Levels based on total household income, with sufficient supporting documentation provided by the patient, will have a 100% Charity discount processed.

For patients with balances greater than $1,500, and whose documented income is in-between 201 and 400 percent of the Federal Poverty Level, we have an expanded financial assistance policy that may reduce the amount you owe. To determine if non-elective services you received could be eligible for either full charity or partial charity, please contact your hospital for details on how you may see if you are eligible to receive assistance.

Some locations may have identified additional criteria for charity eligibility besides the Federal Poverty Levels as noted above (i.e., high medical costs, more lenient income levels, etc.). To verify your eligibility for assistance under this policy, we recommend you contact the hospital.

A validation must be completed by the hospital to ensure that if any portion of the patient's medical services can be paid by any federal, or state governmental health care program (e.g., Medicare, Medicaid, Champus, Medicare secondary payor), private insurance company, or other private, non-governmental third-party payor, that the payment has been received and posted to the account. No charity discount can be applied to any account with any outstanding payer liability.

All Medicare accounts and all non-Medicare inpatient accounts will be required to have supporting income verification documentation. Medicare requires independent income and resource verification for a charity care determination with respect to Medicare beneficiaries (PRM-I § 312).

Income Verification:

For Medicare beneficiaries, in addition to thorough completion of the Financial Assistance Application, the preferred income documentation will be the most current year's Federal Tax Return. Any patient/responsible party unable to provide his/her most recent Federal Tax Return may provide two pieces of supporting documentation from the following list to meet this income verification requirement:

  • State Income Tax Return for the most current year
  • Most Recent Employer Pay Stubs
  • Written documentation from income sources
  • Copy of all bank statements for the last three months
  • Current credit report

Uninsured Discount Policy

All Self-Pay patients, excluding elective cosmetic procedures and facility designated self-pay flat rate procedures , will receive discount similar to managed care, referred to as an "uninsured discount". The Uninsured Discount is limited to patients who have no third party payer source of payment or do not qualify for Medicaid, Charity or any other discount program the facility offers. The amount of the discount offered may vary by location based on state requirements, patient income levels, and local rates.

At the time of service, patients will be asked to make payment in full or establish monthly payment arrangements on the patient liability amount.

Patients confirmed to be uninsured (or their responsible party) will be presented with an Uninsured Patient Information document that provides information on the Uninsured Discount Policy and other available discounts and payment options. This document will outline the process for uninsured discounts and inform the patient of additional account resolution options (i.e. monthly payments). The patient/responsible party will be asked to sign and date the document at the time of service.

Colorado Hospital Discounted Care

Are You Eligible for Discounted Care?

Your Rights as a Patient Under Hospital Discounted Care

If you need help paying a hospital bill, you can see if you qualify for discounted care. You can call the hospital at (844) 974-3800 to set up an appointment to see if you qualify.

Overview:

  • You may qualify for discounted care if your income is low.
  • If you qualify:
    • Hospitals and providers must limit your bills.
    • You must be offered a payment plan based on your income.
  • You may still qualify even if you:
    • Are not a citizen.
    • Are an immigrant.

Your Rights

  • Under the new law you have the right to:
    • Check to see if you qualify for discounted care.
    • Check to see if you qualify for public health care coverage.
    • Be given a payment plan if you qualify.

Summary of New Law, starting September 1, 2022

  • If your gross household income is at or below 250% of the federal poverty level:
    • You may be able to get discounts on your health services.
    • You have the right to a payment plan based on your income.
    • To see if your household income qualifies you may ask the hospital where you received care or visit: Colorado Hospital Discounted Care Website.
  • You can get information in your primary language about your rights.
  • For more information go to: Colorado Hospital Discounted Care Website.

New Law About Bills from Hospital

  • The most a hospital can bill for a service is set by the Department of Health Care Policy and Financing.
  • The hospital must break the bill into monthly charges.
    • Your monthly bill cannot be more than 4% of your monthly income.
  • You may be billed by a provider who works at the hospital.
    • The provider's monthly bill cannot be more than 2% of your monthly income.
  • You do not owe any more money
    • Once you make 36 payments, or
    • Pay the full amount due on your payment plan.

Public Health Coverage and Discounts

  • If you do NOT have health insurance:
    • The hospital must see if you are eligible for the following:
      • Public health coverage and discount programs, like Health First Colorado, Child Health Plus (CHP+), Emergency Medicaid, Colorado Indigent Care Program (CICP), and hospital discounts
        • These can cover all or most of your health care bills.
  • If you have health insurance:
    • You have the right to have your eligibility checked for discounts.
    • You must ask to be checked for eligibility for discounts and public health coverage programs.

The hospital must check to see if you qualify within 45 days of when you received the service or ask to be screened.

You may refuse to be screened. If you refuse to be screened, you may lose your right to take legal action against the hospital and providers for:

  • Not checking to see if you qualify for programs, or
  • Not giving you discounts.

Bill Collection Under Hospital Discounted Care

  • Before sending your bill to collections, a hospital or provider who works at the hospital must:
    • Do what is listed above.
    • Give you a payment plan if you are eligible.
    • Explain all the services and fees on your bill in your primary language.
    • Bill your insurance (if you have insurance).
    • Notify you they may send you to collections.
  • If your bill is sent to collections without doing all the steps listed above, you can take legal action.

Decision and Appeals

  • The hospital must notify you of the decision within 14 days of completing an application.
  • How to appeal the decision.
    • An appeal happens when you do not agree with a decision.
    • You ask for your case to be reviewed for mistakes.
    • You have 30 days from the date the hospital gave you the decision to file an appeal.
    • For more information on how to appeal visit Colorado Hospital Discounted Care Website or call 1-800-221-3943.

Complaints

  • You can file a complaint if you feel that any of your rights listed above have not been met.
  • Complaints can be filed with the hospital or provider.
  • Complaints can also be filed with the Department of Health Care Policy and Financing.

HealthONE makes no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and HealthONE cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-hospital related charges, any of which may increase the ultimate pricing for the services provided. Any prospective patient should understand that a final bill for services rendered at HealthONE may differ substantially from the information provided by this website, and HealthONE shall not be liable for any inaccuracies.

Read More
Check Symptoms and Find Care