KETTERING HEALTH MAIN CAMPUS

"If you and/or the party responsible for payment has combined income equal to or below 250 percent of the federal poverty guidelines, you will have no financial responsibility for the care that Kettering Health provides."

documented · checked 2026-10-13 · [PDF] PLAIN LANGUAGE SUMMARY of Financial Assistance Policy

"KH Sliding Scale: PROGRAM % FPL DISCOUNT HCAP 0% - 100% 100% Financial Assistance – Extended 0% - 250% 100% Financial Assistance – Basic 251% - 400% 80%"

documented · checked 2026-10-13 · Financial Assistance Policy

"Individual is insured but qualifies for assistance based on financial need to pay for the individual’s balance after insurance"

documented · checked 2026-10-13 · Financial Assistance Policy

"[Financial Assistance](https://ketteringhealth.org/billing-insurance/financial-assistance/)"

documented · checked 2026-10-13 · Financial Assistance Resources - English | Kettering Health

"supply, but not limited to, the following documentation: a. Proof of income for applicant (and spouse, if applicable) such as pay stubs, unemployment payment stubs, or other information on how patients are currently financially supporting themselves b. Bank statements c. Tax return d. Documentation of assets"

documented · checked 2026-10-13 · Financial Assistance Policy

"Forward application and all applicable documents to: Kettering Health Financial Assistance P.O. Box 933310 Cleveland, OH 44193, Email: FinancialCounselors@ketteringhealth.org or fax (937) 522-9944."

documented · checked 2026-10-13 · Patient Application for Financial/Medication Assistance

"Financial assistance application will be considered up to 240 days after the first post discharge billing statement."

documented · checked 2026-10-13 · Financial Assistance Policy

"KH or its authorized agents will not initiate any ECAs for at least 120 days from the date KH provides the first post-discharge billing statement."

documented · checked 2026-10-13 · Financial Assistance Policy

"For additional questions call: (937) 914-7680"

documented · checked 2026-10-13 · Patient Application for Financial/Medication Assistance

"KH adopts this policy for KH Main Campus, KH Miamisburg, KH Behavioral Medical Center, KH Dayton, KH Washington Township, KH Greene Memorial, Soin Medical Center, KH Hamilton, KH Troy, KH Medical Group, KH Transportation Services, all hospital off- sites and KH facilities, KH Senior Living, and KH System Services."

documented · checked 2026-10-13 · Financial Assistance Policy