{"hospital":{"ccn":"360095","name":"BLANCHARD VALLEY HOSPITAL","city":"FINDLAY","state":"OH","zip":"45840","phone":"419-423-4500","ownership":"Voluntary non-profit - Other","website_domain":"bvhealthsystem.org","system":null},"version":4,"status":"published","eligibility":{"free_care_max_fpl":{"value":"150","layer":"documented","quote":"iv. 100% discount for those between 0-150% of the poverty guidelines","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"150","max_fpl_inclusive":"200","discount_percent":75},{"min_fpl_exclusive":"200","max_fpl_inclusive":"225","discount_percent":50},{"min_fpl_exclusive":"225","max_fpl_inclusive":"250","discount_percent":25}],"layer":"documented","quote":"i. 25% discount for those between 226-250% of the poverty guidelines\n        ii. 50% discount for those between 201-225% of the poverty guidelines\n        iii. 75% discount for those between 151-200% of the poverty guidelines\n        iv. 100% discount for those between 0-150% of the poverty guidelines","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Presumptive assistance will be provided to those uninsured patients who are not able to provide complete financial information. Examples include:\n1. Patients who are pending Medicaid approval","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"Supporting documents related to the above income may include: pay stubs for a minimum of the immediate 3 months prior to date of service, W2, payroll history printout, copy of checks, bank statement showing direct deposits, tax return, a written statement of income and expenses for self-employed individuals, unemployment payments, child support (only if child is the patient), pension, alimony, annuity statements, etc.","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"Paper copies can be obtained from a financial advocate, in the Registration Department, the Emergency Room Discharge Office, or from the Cashier’s Office."},{"kind":"portal","detail":"You may obtain an application or copy of our policy by visiting our website at bvhealthsystem.org/financialassistance."},{"kind":"phone","detail":"You may also obtain a copy by contacting Patient Financial Services at 419-423-5310."}],"layer":"documented","quote":"How to Obtain an Application or Copy of our Policy You may obtain an application or copy of our policy by visiting our website at bvhealthsystem.org/financialassistance. Paper copies can be obtained from a financial advocate, in the Registration Department, the Emergency Room Discharge Office, or from the Cashier’s Office. You may also obtain a copy by contacting Patient Financial Services at 419-423-5310.","source_id":"summary-aa56808e8f43d2c0","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"BVRHC will not initiate any ECA against an individual whose FAP eligibility has not been determined before 120 days after the first post-discharge billing statement is issued.","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"419-423-5310","layer":"documented","quote":"Inquires can be made directly to any of the staff members involved in the above processes, by contacting the financial assistance staff at 419-423-5310, or by completing an application for financial assistance.","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Documents are available in both English and Spanish.","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Blanchard Valley Hospital","Bluffton Hospital"],"layer":"documented","quote":"Blanchard Valley Hospital and Bluffton Hospital provide, without discrimination, care for emergency medical conditions to individuals regardless of whether they are eligible for financial assistance under this policy.","source_id":"fap-64b7ee0e58224a47","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-64b7ee0e58224a47","kind":"hospital_web","url":"https://edge.sitecorecloud.io/blanchardva40a9-bvhssitecoradd7-prodd901-d889/media/project/bvhs/bvhs/file/financial/110_77-bvrhc-financial-assistance-policy_updated.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-10","sha256":"64b7ee0e58224a474028bb6e6fe53a6b6048e2332d4dca5884d8b6544f3c7cc8","effective_date":null},{"id":"application-0ce6f817b2c84b87","kind":"hospital_web","url":"https://bvhealthsystem.org/patient-and-visitor-information/financial-assistance-application","title":"Financial Assistance Application","fetched_on":"2026-10-10","sha256":"0ce6f817b2c84b87dc8c01a3ccebf11fd1b2f14db568fa3f46bbd3eb71b62fc0","effective_date":null},{"id":"summary-aa56808e8f43d2c0","kind":"hospital_web","url":"https://edge.sitecorecloud.io/blanchardva40a9-bvhssitecoradd7-prodd901-d889/media/project/bvhs/bvhs/file/financial/plain-language-summary-english.pdf","title":"Plain Language Summary","fetched_on":"2026-10-10","sha256":"aa56808e8f43d2c022e402ca33bacae367958a1d5a07c34cae346f46d9069961","effective_date":null},{"id":"billing-b600e9745f4d6e90","kind":"hospital_web","url":"https://bvhealthsystem.org/patient-and-visitor-information/im-a-patient/billing-and-insurance/financial-assistance","title":"Financial Assistance","fetched_on":"2026-10-10","sha256":"b600e9745f4d6e90f123364dea2e5c4913542d053f03e0c09a025becf43eb652","effective_date":null},{"id":"application-e8428fd44211b759","kind":"hospital_web","url":"https://edge.sitecorecloud.io/blanchardva40a9-bvhssitecoradd7-prodd901-d889/media/files/financial-forms/2026-2022-income-guidelines.xlsx","title":"Blanchard Valley Health System Sliding Fee Scale","fetched_on":"2026-10-10","sha256":"e8428fd44211b759f6eb773d7ce01c4d8e4cf77564e8dc7965cc5d0a9ab0ed70","effective_date":null}],"accuracy":null}