Determining Your Discount on Hospital and Clinic Charges

Questions? Contact Us
Phone Number
Call 866.320.9659

Hospital and clinic charges appear on your bill as "hospital services." These can include lab work, X-rays, outpatient surgery or your stay in the hospital. These services DO NOT include provider services.

No insurance?

If you don’t have health insurance, you qualify for at least a 40% discount. Depending on your income and assets, you could qualify for more.

If your assets are less than $50,000 your discount depends on:

  • Number of people in your household
  • Your total household income
Number of People in Household

100% Discount:

Household Income

60% Discount:

Household Income

50% Discount:

Household Income

1 $0 - $24,980 $24,981 - $37,470 $37,471 - $49,960
2 $0 - $33,820 $33,821 - $50,730 $50,731 - $67,640
3 $0 - $42,660 $42,661 - $63,990 $63,991 - $85,320
4 $0 - $51,500 $51,501 - $77,250 $77,251 - $103,000
5 $0 - $60,340 $60,341 - $90,510 $90,511 - $120,680

For households of more than five, please contact us at 866.320.9659

Apply for Aid

Print an application in English (PDF) or Spanish (PDF). We can also mail you an application.