Waive

KETTERING HEALTH TROY

TROY, OH · version 3 · published · JSON

eligibility.free_care_max_fpl250% of the federal poverty level

"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."

documented · checked 2026-10-13 · Plain Language Summary of Financial Assistance Policy

eligibility.discount_tiersAbove 250% up to 400% of FPL: 80% discount

"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

eligibility.insured_patients_coveredYes

"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

apply.form_urlhttps://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance_English-1.pdf

"[Patient Application for Financial/Medication Assistance](https://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance_English-1.pdf)"

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

apply.documents_requiredProof of income
Tax return
Pay stubs
Bank statements

"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"

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

apply.submit_methodsMail: Kettering Health Financial Assistance P.O. Box 933310, Cleveland, OH 44193
Fax: (937) 522-9944
Email: financialcounselors@ketteringhealth.org

"Completed application may be 1. Mailed to Kettering Health Financial Assistance P.O. Box 933310, Cleveland, OH 44193; 2. Faxed to (937) 522-9944; or 3. Emailed to financialcounselors@ketteringhealth.org"

documented · checked 2026-10-13 · Plain Language Summary of Financial Assistance Policy

apply.window_days_from_first_bill240 days

"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

collections.eca_wait_days120 days

"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

contacts.phone(937) 980-7001

"Kettering Health Troy 600 W. Main St. Troy, OH 45373 (937) 980-7001"

documented · checked 2026-10-13 · Plain Language Summary of Financial Assistance Policy

coverage.facilitiesKettering Health Troy

"Kettering Health Troy 600 W. Main St. Troy, OH 45373 (937) 980-7001"

documented · checked 2026-10-13 · Plain Language Summary of Financial Assistance Policy

Sources

Financial Assistance Resources - English | Kettering Health — fetched 2026-10-13

Plain Language Summary of Financial Assistance Policy — fetched 2026-10-13

Financial Assistance | Kettering Health — fetched 2026-10-13

Plain Language Summary of Financial Assistance Policy — fetched 2026-10-13

Financial Assistance Policy — fetched 2026-10-13

2026 Charity Scale — fetched 2026-10-13

Patient Application for Financial/Medication Assistance — fetched 2026-10-13