BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE
ROWLETT, TX · version 1 · published · JSON
eligibility.free_care_max_fpl200% of the federal poverty level"Financially Indigent "Financially Indigent" means a patient whose Yearly Household Income is less than or equal to 200 percent of the Federal Poverty Guidelines ("FPG"). These Financially Indigent patients are eligible for a 100% discount on outstanding patient account balances based on Schedule A (see below) of the Financial Assistance Eligibility Discount Guidelines (Attachment B) of Baylor Scott & White's Financial Assistance policy."
documented · checked 2026-10-10 · View BSWH program
eligibility.insured_patients_coveredYes"patients who have coverage with an insurance carrier but are unable to pay their portion of the bill after insurance pays."
documented · checked 2026-10-10 · View BSWH program
programs.presumptiveMedicaid"Proof of participation in governmental assistance programs such as food stamps, County Indigent Health Program (CDIC), Aids to Families with Dependent Children (AFDC), Medicaid, Women, Infants, and Children (WIC), or Temporary Assistance for Needy Families (TANF), TexCare Partnership"
documented · checked 2026-10-10 · View BSWH program
apply.documents_requiredTax returnBank statements
Social Security letter
"* Household Size1 * Yearly Household Income2, which must be verified by one or more of the following financial documentation (listed in order of preference): * Pay check remittance * W-2 * Wage and Tax Statement * Individual tax return * Telephone verification by employer of Patient’s Reported Income * Social Security payment remittance * Worker’s compensation payment remittance * Unemployment insurance payment notice * Unemployment compensation determination letters * Proof of participation in governmental assistance programs such as food stamps, County Indigent Health Program (CDIC), Aids to Families with Dependent Children (AFDC), Medicaid, Women, Infants, and Children (WIC), or Temporary Assistance for Needy Families (TANF), TexCare Partnership * Bank statements * Response from a credit inquiry * Or other appropriate indicators of patient's reported income"
documented · checked 2026-10-10 · View BSWH program
apply.submit_methodsMail: Send us your completed application along with the supporting documents to:
Baylor Scott & White Health
Attn: Financial Assistance Application
301 N Washington Ave
Dallas, TX 75246In person: Visit your financial counselor and learn more about your financial assistance options. Visit a financial counselor
Phone: If you need assistance, our Customer Service team is available Monday through Friday, 8:00 AM - 5:00 PM, and can be reached toll‑free. Call 1.800.994.0371
"If you need assistance, our Customer Service team is available Monday through Friday, 8:00 AM - 5:00 PM, and can be reached toll‑free. [Call 1.800.994.0371](tel:+18009940371) ### By mail Send us your completed application along with the supporting documents to: Baylor Scott & White Health Attn: Financial Assistance Application 301 N Washington Ave Dallas, TX 75246 Have questions about patient billing or financial assistance? We're here to help. Use this form to submit your question to one of our customer service representatives. [Complete the form](/Patient-Tools/Registration-and-Billing/Patient-Billing-Help-Form) ### In person Visit your financial counselor and learn more about your financial assistance options. [Visit a financial counselor](/Patient-Tools/Registration-and-Billing/Financial-Assistance/Contact-Us)"
documented · checked 2026-10-10 · View BSWH program
apply.window_days_from_first_bill365 days"Patients may apply for financial assistance from the date a patient is scheduled for service through the 365th day after the first billing statement is provided."
documented · checked 2026-10-10 · View BSWH program
contacts.phone1.800.994.0371"[Call 1.800.994.0371](tel:+18009940371)"
documented · checked 2026-10-10 · View BSWH program
contacts.hours8:00 AM - 5:00 PM"If you need assistance, our Customer Service team is available Monday through Friday, 8:00 AM - 5:00 PM, and can be reached toll‑free."
documented · checked 2026-10-10 · View BSWH program
Sources
Billing and Collections Policy — fetched 2026-10-10
Billing and Collections Policy — fetched 2026-10-10
Billing and Collections Policy — fetched 2026-10-10
Billing and Collections Policy — fetched 2026-10-10
managing — fetched 2026-10-10
Visit a financial counselor — fetched 2026-10-10
View BSWH program — fetched 2026-10-10
View other programs — fetched 2026-10-10