{"hospital":{"ccn":"361322","name":"BLUFFTON HOSPITAL","city":"BLUFFTON","state":"OH","zip":"45817","phone":"419-358-9010","ownership":"Voluntary non-profit - Private","website_domain":"bvhealthsystem.org","system":null},"version":6,"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":"Write off percentages for uninsured patients include: a. 50% AGB discount will be applied to all uninsured patient accounts b. Uninsured individuals who apply for financial assistance by completing an assistance application and providing supporting documentation may receive a charity discount of 50, 75, or 100% based on federal poverty guidelines. i. 25% discount for those between 226-250% of the poverty guidelines ii. 50% discount for those between 201-225% of the poverty guidelines iii. 75% discount for those between 151-200% of the poverty guidelines 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":{"value":true,"layer":"documented","quote":"As part of our mission of \"Caring for a lifetime,\" Blanchard Valley Health System provides options for both insured and uninsured patients who require emergency or medically necessary services at Blanchard Valley Hospital or Bluffton Hospital.","source_id":"billing-b600e9745f4d6e90","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"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: 1. 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":null,"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":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"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":"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":"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":"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}],"accuracy":null}