{"hospital":{"ccn":"360368","name":"KETTERING HEALTH TROY","city":"TROY","state":"OH","zip":"45373","phone":"937-980-7000","ownership":"Voluntary non-profit - Private","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":"KH Sliding Scale: 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":{"value":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance_English-1.pdf","layer":"documented","quote":"[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)","source_id":"fap-569d2abd7af1be5a","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","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":"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","source_id":"summary-c6b42a3a1c310869","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) 980-7001","layer":"documented","quote":"Kettering Health Troy 600 W. Main St. Troy, OH 45373 (937) 980-7001","source_id":"summary-c6b42a3a1c310869","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Kettering Health Troy"],"layer":"documented","quote":"Kettering Health Troy 600 W. 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