Waive

CARLE HEALTH PEKIN HOSPITAL

PEKIN, IL · version 3 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"0-200% of FPIG: 100% discount off AGB"

documented · checked 2026-10-10 · Title: Financial Assistance – Hospital Facilities 1.BR.34

eligibility.discount_tiersAbove 200% up to 225% of FPL: 65% discount
Above 225% up to 250% of FPL: 45% discount
Above 250% up to 300% of FPL: 25% discount
Above 300% up to 400% of FPL: 5% discount

"0-200% of FPIG: 100% discount off AGB 201-225% of FPIG: 65% discount off AGB 226-250% of FPIG: 45% discount off AGB 251-300% of FPIG: 25% discount off AGB 301-400% of FPIG: 5% discount off AGB"

documented · checked 2026-10-10 · Title: Financial Assistance – Hospital Facilities 1.BR.34

eligibility.insured_patients_coveredYes

"Financial Assistance will be offered for eligible patients to cover patient responsibility for uninsured patients as well as patients with balances remaining after insurance payment."

documented · checked 2026-10-10 · Title: Financial Assistance – Hospital Facilities 1.BR.34

apply.submit_methodsMail: Central Billing Office, ATTN: FA Team, P.O. Box 35758, Des Moines, IA 50315-4205
Email: FA_CBO_Request@unitypoint.org
Fax: (515) 362-5055
In person: Please complete this form and submit to the hospital in person, by mail, by electronic mail, or by fax to apply for free or discounted care within 60 days following the date of discharge or receipt of outpatient care.

"Please complete this form and submit to the hospital in person, by mail, by electronic mail, or by fax to apply for free or discounted care within 60 days following the date of discharge or receipt of outpatient care."

documented · checked 2026-10-10 · Title: Financial Assistance – Hospital Facilities 1.BR.34

Sources

Carle Financial Assistance Programs — fetched 2026-10-10

Financial Assistance Programs — fetched 2026-10-10

Answers to Frequently Asked Billing Questions - FAQs | Carle.org — fetched 2026-10-10

Title: Financial Assistance – Hospital Facilities 1.BR.34 — fetched 2026-10-10

**carle.org/FinancialAssistance** — fetched 2026-10-10