CHRISTUS JASPER MEMORIAL HOSPITAL

JASPER, TX · version 1 · published · JSON

eligibility.free_care_max_fpl300% of the federal poverty level

"Any patient whose gross family income is at or below 300% of the FPL will be extended a full 100% charity care discount for any Uninsured Balance or Balance After Insurance on patient responsibility for Covered Services prior to the application of the Uninsured Discount, if applicable."

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

programs.presumptiveMedicaid
indigent programs

"or when the patient is enrolled in a Medicaid or indigent program but not in the state or county where the services were rendered;"

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

apply.documents_requiredPhoto ID
Proof of income
Social Security letter
Tax return
Pay stubs
Bank statements

"YOU MUST PROVIDE AT LEAST 1 OF THE FOLLOWING: YOU MUST PROVIDE PROOF OF IDENTITY WITH Most recent and complete Income Tax Return AT LEAST 1 THE FOLLOWING: __3 most recent paycheck stubs __ Current Driver’s License __ Alien Registration __3 most recent checking/savings account statements __ Passport __State-Issued Identification Card __ Food Stamp or SSI/SSA/SSD award letter __If you report a $0 income, please attach a brief explanation of how you or the patient are meeting basic needs"

documented · checked 2026-10-10 · [PDF] Financial Assistance Application - CHRISTUS Health

apply.submit_methodsMail: Mailing a written request to CBO Customer Service, 5101 N. O’Connor Blvd Irving, TX 75039; or 2900 North Loop West, Ste 1300 Houston TX 77092
In person: Delivered in person to the hospital admitting department.

"Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: a. Submitted by mail to Customer Service using the address on the application; or b. Delivered in person to the hospital admitting department."

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

collections.eca_wait_days120 days

"Under no circumstance will CHRISTUS Hospitals and CHRISTUS Clinics pursue an Extraordinary Collection Actions until 120 days after the date of the first post-discharge billing statement for the care at issue."

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

contacts.phone800-877-8623

"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time)"

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

contacts.hoursMonday through Friday, 8 a.m. to 5 p.m. (central time)

"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time)"

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

Sources

Financial Assistance Policy — fetched 2026-10-10

[PDF] Financial Assistance Application - CHRISTUS Health — fetched 2026-10-10

2021PlainLanguageSummaryHospitalEnglish.pdf — fetched 2026-10-10

[PDF] CHRISTUS Health - FINANCIAL ASSISTANCE POLICY — fetched 2026-10-10