Financial Assistance for Uninsured Patients
If you have no health insurance or third-party payer source to help pay your hospital bill, we may be able to help.
Please note, this information applies to the hospital bill and does not include any bills from physicians, anesthesiologists, clinical professionals, ambulance companies, etc., that may bill separately for services.
To contact our office, call 831-458-6209.
Payment Options
- Uninsured Patient Discounts:
Uninsured patients receive a 25 percent discount on hospital inpatient charges and a 25 percent discount on outpatient services. An itemized bill reflecting your discount will be mailed to you five to seven days after the date you received service or your date of discharge from the hospital. Please review the bill and contact us at 831-458-6209 if you have questions. - Prompt Pay Discount:
Uninsured patients who pay their bills within 30 days receive an additional 10 percent discount. - Payment Plans:
Patients may choose to make payment arrangements for their hospital bill. For information call 831-458-6209.
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Charity Care
Uninsured patients who meet income and family- size eligibility requirements can apply for partial or full charity care. All potential payment sources must be exhausted before a patient is eligible for charity, including applying for government-funded programs like Medi-Cal. For more information, call 831-458-6209.
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Catastrophic Coverage
Catastrophic medical coverage is available for people who do not have health insurance when their eligible medical bills exceed 30 percent of annual income. Assistance is provided for the amount over 30 percent of annual income.
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Frequently Asked Questions
Q. How do I know if I qualify for financial assistance for my hospital bills?
Each case is reviewed individually. Please request an application by calling our office at 831-458-6209 or downloading the application and completing it. Statement of Financial Condition
As part of your application, be prepared to supply:
- A copy of a recent denial of Medi-Cal or Medi-Cruz coverage, covering the time periods for which you are asking for charity consideration
- Complete copies of last year’s income tax return, including schedules
- Copies of your two most recent paycheck stubs for yourself and your spouse
- Household utility bill or credit card statement in your name (to establish the minimum 6- month Santa Cruz County residency requirement)
Q. How will I be notified?
Once the eligibility process is complete, you will receive notification by mail informing you whether you are eligible for full or partial financial assistance. You may receive a request for more information.
Q: Can I apply for charity care to cover my insurance plan co-pay or deductible?
No. Financial assistance is designed for people who have no health insurance.
Q: What if I have a chronic medical condition and no health insurance? Do I have to re-apply for each hospital stay?
Our Charity Care Liaison can help you navigate potential continuing care options. Please call our office at 831-458-6209 for more information.
Last updated: January 2013
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