Hospital Financial Assistance
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.
Our Financial Assistance Policy
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 emergent/urgent/ and/or medically necessary care patients whose household financial resources and/or income are at or below 400 percent of the Federal Poverty Level.
To qualify for any assistance, uninsured/underinsured patients will be asked to complete a Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses.
Trinity Health System will not balance bill any patient services related to the treatment of COVID 19.
During this difficult time we are committed to working with our patients to establish and approve an appropriate payment plan based on the amount due and the patient’s financial status, should you have any questions or concerns regarding your bill, please contact the Patient Accounting Department at (740) 283-7261.
Questions about Qualifying for Financial Assistance?
If you have any questions about qualifying or applying for financial assistance, please contact:
Financial Counselor
Monday – Friday, 7.30 a.m. – 4:00 p.m.
Phone: (740) 264-8326
Fax: (740) 283-7431
E-mail: [email protected]
Providers who are subject to our Financial Assistance Policy
PProviders who are NOT subject to our Financial Assistance Policy
CHI Health Financial Assistance Application
- English
- Arabic – ملخص سیاسة المساعدة المالیة
- German – Finanzielle Unterstützung
- Spanish – Asistencia financiera
- French – d’Assistance financière
- Hindi – वित्तीय सहायता आिेदनपत्र संबंधी वनदेश
- Hmong – Daim Foos Ua Daim Ntawv Thov Kev Pab Fab Nyiaj Txiag
- Japanese – 財政支援申請書
- Korean – 재정 지원 신청서
- Portuguese (Brazil) – Formulário de Pedido de Assistência Financeira
- Russian – Инструкции по Заявлению на финансовую помощь
- Tagalog – Form ng Aplikasyon Para sa Tulong sa Pananalapi
- Vietnamese – Hỗ trợ Tài chính
- Simplified Chinese – 经济援助申请表
- Traditional Chinese – 經濟援助申請表
Financial Assistance Policy
- English
- Arabic – المساعدة المالية
- German – Finanzielle Unterstützung
- Spanish – Asistencia financiera
- French – Assistance financière
- Hindi – िव????ीय सहायता
- Hmong – Kev Pab Cuam Nyiaj Txiag
- Japanese – 金融支援
- Korean – 재정지원
- Portuguese (Brazil) – Assistência Financeira
- Russian – Предоставление финансовой помощи
- Tagalog – Tulong sa Pananalapi
- Vietnamese – Hỗ trợ Tài chính
- Simplified Chinese – 经济援助
- Traditional Chinese – 經濟援助部
Addendum Financial Assistance Policy Contact
- English
- Arabic – المساعدة المالية
- German – Finanzielle Unterstützung
- Spanish – Asistencia financiera
- French – Assistance financière
- Hindi – िव????ीय सहायता
- Hmong – Kev Pab Cuam Nyiaj Txiag
- Japanese – 金融支援
- Korean – 재정지원
- Portuguese (Brazil) – Assistência Financeira
- Russian – Предоставление финансовой помощи
- Tagalog – Tulong sa Pananalapi
- Vietnamese – Hỗ trợ Tài chính
- Simplified Chinese – 经济援助
- Traditional Chinese – 經濟援助部
Financial Assistance Policy – Plain Language Summary
- English
- Arabic – ملخص سیاسة المساعدة المالیة
- German – Zusammenfassung der Finanzhilfepolitik
- Spanish – Resumen de la Política de asistencia financiera
- French – Résumé de la Politique d’assurance financière
- Hindi – वित्तीय सहायता नीति का सारांश
- Hmong – Ntsiab lus ntawm Txoj Cai Kev Pab Fab Nyiaj Txiag
- Japanese – 経済的支援ポリシー の概要
- Korean – 재정 지원 정책 요약
- Portuguese (Brazil) – Sumário da Política de Assistência Financeira
- Russian – Краткое изложение Политики предоставления финансовой помощи
- Tagalog – Buod ng Patakaran sa Tulong sa Pananalapi
- Vietnamese – Bản Tóm tắt Chính sách Hỗ trợ Tài chính
- Simplified Chinese – 经济援助摘要
- Traditional Chinese – 經濟援助政策摘要
Billing and Collection Policy
- English
- Arabic – الفوترة وعمليات التحصيل
- German – Abrechnung und Inkasso
- Spanish – Facturación y cobranzas
- French – Facturation et recouvrement
- Hindi – बिल गिं और उगाही
- Hmong – Kev Them Nqi thiab Kev Suav Se
- Japanese – 請求および回収
- Korean – 진료비 청구 및 미수금 회수
- Portuguese (Brazil) – Faturamento e Cobranças
- Russian – Выставление счетов и взыскание задолженности
- Tagalog – Mga Paniningil at Pagkolekta
- Vietnamese – Lập Hóa đơn và Thu tiền
- Simplified Chinese – 结算和收款
- Traditional Chinese – 開立帳單與託收
Amount Generally Billed
If you qualify for partial support from Trinity Health System, learn the amounts generally billed/reimbursed for services at Trinity Health System.