{"hospital":{"ccn":"360239","name":"KETTERING HEALTH MIAMISBURG","city":"MIAMISBURG","state":"OH","zip":"45342","phone":"937-384-8760","ownership":"Voluntary non-profit - Church","website_domain":"ketteringhealth.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"If you and/or the party responsible for payment has combined income equal to or below 250 percent of the Federal Poverty Level guidelines, you will have no financial responsibility for the care that Kettering Health provides.","source_id":"summary-c6b42a3a1c310869","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"250","max_fpl_inclusive":"400","discount_percent":80}],"layer":"documented","quote":"PROGRAM % FPL DISCOUNT HCAP 0% - 100% 100% Financial Assistance – Extended 0% - 250% 100% Financial Assistance – Basic 251% - 400% 80%","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Individual is insured but qualifies for assistance based on financial need to pay for the individual’s balance after insurance","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","bank_statements"],"layer":"documented","quote":"individuals should 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","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Kettering Health Financial Assistance P.O. Box 933310 Cleveland, OH 44193"},{"kind":"fax","detail":"(937) 522-9944"},{"kind":"email","detail":"FinancialCounselors@ketteringhealth.org"}],"layer":"documented","quote":"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.","source_id":"application-030c1f91f36e71e3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Financial assistance application will be considered up to 240 days after the first post discharge billing statement.","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"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.","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"937-914-7680","layer":"documented","quote":"For additional questions call: (937) 914-7680","source_id":"application-030c1f91f36e71e3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Kettering Health Main Campus","Kettering Health Miamisburg","Kettering Health Behavioral Medical Center","Kettering Health Dayton","Kettering Health Washington Township","Kettering Health Greene Memorial","Soin Medical Center","Kettering Health Hamilton","Kettering Health Troy","Kettering Health Medical Group","Kettering Health Transportation Services","all hospital off-sites and KH facilities","KH Senior Living","KH System Services"],"layer":"documented","quote":"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.","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-569d2abd7af1be5a","kind":"hospital_web","url":"https://ketteringhealth.org/billing-insurance/financial-assistance/financial-assistance-policy-english","title":"Financial Assistance Resources - English | Kettering Health","fetched_on":"2026-10-13","sha256":"569d2abd7af1be5a3c0988ab7c4366716a936c1485f3deca907bf2a2b8358022","effective_date":null},{"id":"application-030c1f91f36e71e3","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2022/03/Patient-Application-for-Financial-Assistance.pdf","title":"Patient Application for Financial/Medication Assistance","fetched_on":"2026-10-13","sha256":"030c1f91f36e71e3f76a7ae51225367f2572a47568b79037a76cb9412c060041","effective_date":null},{"id":"summary-c6b42a3a1c310869","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2023/12/English-23KH0161-1543-Financial-Assistance-Policy-flyer.pdf","title":"Plain Language Summary of Financial Assistance Policy","fetched_on":"2026-10-13","sha256":"c6b42a3a1c310869dacdce3d0e068c02e3e7363d0296465b5e72e5cfba617d60","effective_date":null},{"id":"billing-91be5a3de2f34c92","kind":"hospital_web","url":"https://ketteringhealth.org/billing-insurance/financial-assistance","title":"Financial Assistance | Kettering Health","fetched_on":"2026-10-13","sha256":"91be5a3de2f34c9251c3012d5eed1d27bd147e77520add4fcf0534584244dbe8","effective_date":null},{"id":"fap-a1d9262e99b6db62","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2025/12/PF-KH-Financial-Assistance-Updated-6-25-202536-English-1.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-13","sha256":"a1d9262e99b6db6231fa3da56f2f7dd033617e65a90515bba4a88a18d4c10dbe","effective_date":null},{"id":"fap-0372400e1c01b988","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/01/2026-Charity-Scale-.pdf","title":"2026 Charity Scale","fetched_on":"2026-10-13","sha256":"0372400e1c01b988c339de37a9ed4fdf19fd959da43128d39185f851460324f2","effective_date":null},{"id":"application-f3a01e1b01d5b7cf","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance_English-1.pdf","title":"Patient Application for Financial/Medication Assistance","fetched_on":"2026-10-13","sha256":"f3a01e1b01d5b7cf90353357b00e77e3c86e3b3cd5be5696fbdbc468c537db24","effective_date":null}],"accuracy":null}