Baylor St Lukes Medical Center

"Up to 200% of the FPL – Any patient whose Family Income is at or below 200% of the FPL, including, without limitation, any Uninsured or Underinsured patient, is eligible to receive Financial Assistance up to a 100% discount from his or her account balance for eligible services provided to the patient after payment, if any, by any thirdparty(ies)."

documented · checked 2026-10-10 · English

"Financial Assistance is offered to insured patients to the extent allowed under the patient’s insurance carrier contract."

documented · checked 2026-10-10 · English

"Medicaid patients who receive non-covered medically necessary services will be considered for Presumptive Financial Assistance."

documented · checked 2026-10-10 · English

"□ Provide us information about your family □ Provide us information about your family’s gross monthly income (income before taxes and deductions) □ Provide documentation for family income □ Provide documentation for family assets □ Attach additional information if needed □ Sign and date the form"

documented · checked 2026-10-10 · CHI St. Luke's Health Financial Assistance Application ...

"Application Period means the time provided to patients by the CommonSpirit Hospital Organization to complete the Financial Assistance application. It expires on the later of (i) 365 days from the patient’s discharge from the Hospital Facility or the date of the patient’s EMCare, or (ii) 240 days from the date of the initial post-discharge bill for the EMCare received at a Hospital Facility."

documented · checked 2026-10-10 · English

"We will notify you of the final determination of eligibility and appeal rights, if applicable, within 30 calendar days of receiving a complete financial assistance application, including documentation of income."

documented · checked 2026-10-10 · CHI St. Luke's Health Financial Assistance Application ...

"For questions regarding our policy or form(s), please call [(832) 355-8275](tel:832-355-8275) or [(844) 490-1247](tel:844-490-1247)."

documented · checked 2026-10-10 · BSLMC Financial Assistance | CommonSpirit Health

"* [Arabic](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-ar.pdf) * [German](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-de.pdf) * [Spanish](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-es.pdf) * [English](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-en.pdf) * [French](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-fr.pdf) * [Hindi](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-hi.pdf) * [Hmong](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-hmv.pdf) * [Japanese](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-ja.pdf) * [Korean](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-ko.pdf) * [Portuguese (Brazil)](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-pt.pdf) * [Russian](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-ru.pdf) * [Tagalog](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-tl.pdf) * [Vietnamese](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-vi.pdf) * [Simplified Chinese](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-zh-cn.pdf) * [Traditional Chinese](/content/dam/commonspiritorg/en/sorg/shared/finance/assistance/stlukes-health-all-locations-financial-assistance-summary-zh-tw.pdf)"

documented · checked 2026-10-10 · BSLMC Financial Assistance | CommonSpirit Health