ADVENTHEALTH PALM COAST PARKWAY

"To be eligible for a one hundred percent (100%) reduction on applicable balances (i.e. full write-off for uninsured patients and full write-off of the patient responsibility portion of balances after insurance) the individual’s household income must be at or below two hundred fifty percent (250%) of the current Federal Poverty Guidelines for the prior twelve (12) months or full year preceding the date of service or the date a Financial Assistance Application is submitted, whichever is later."

documented · checked 2026-10-09 · View PDF

"o In addition to evaluation of income level outlined above, an asset means test may also be applied to Medicare recipients only."

documented · checked 2026-10-09 · View PDF

"o Presumptive Eligibility: Individuals who are uninsured and demonstrate one or more of the following will be deemed eligible for the most generous financial assistance without further scrutiny by AdventHealth, even in the absence of a completed Application: ▪ Individual is self-identified as homeless. ▪ Individual is deceased and has no known estate or spouse able to pay hospital balance or debt. ▪ Individual is incarcerated for a felony. ▪ Individual is mentally incapacitated with no one to act on the individual’s behalf. ▪ Individual is currently eligible for Medicaid but was not at the date of service. ▪ Individual or child in the household is currently eligible for Medicaid (North Carolina Only). ▪ Individual is eligible by the State to receive assistance under the Violent CW F 50.1 Financial Assistance The electronic version of this policy is considered to be the controlled version. Printed copies are considered uncontrolled documents. Before using a printed copy, verify that it is the current version Policy (Reference) #CW F 50.1 Page 10 of 20 Crimes Victims Compensation Act or the Sexual Assault Victims Compensation Act."

documented · checked 2026-10-09 · View PDF

"Identification of Potentially Eligible Individuals. Requests for financial assistance will be honored up to two hundred forty (240) days after the date of the first post-discharge billing statement, sent by mail or electronically to the patient, for the care provided."

documented · checked 2026-10-09 · View PDF

"o One hundred twenty (120) days from the date the entity provides the first post-discharge billing statement for the care provided, AdventHealth may engage in ECAs including but not limited to selling debt to a third party (see section D of this policy for more information regarding debt sale) only after the following notifications have been provided to the individual at least thirty (30) days before initiating any ECAs:"

documented · checked 2026-10-09 · View PDF