{"hospital":{"ccn":"450742","name":"BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE","city":"ROWLETT","state":"TX","zip":"75088","phone":"972-412-2273","ownership":"Voluntary non-profit - Private","website_domain":"bswhealth.com","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Financially Indigent\n\"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.","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"patients who have coverage with an insurance carrier but are unable to pay their portion of the bill after insurance pays.","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"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","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["tax_return","bank_statements","social_security_letter"],"layer":"documented","quote":"* Household Size1\n* Yearly Household Income2, which must be verified by one or more of the following financial documentation (listed in order of preference):\n* Pay check remittance\n* W-2\n* Wage and Tax Statement\n* Individual tax return\n* Telephone verification by employer of Patient’s Reported Income\n* Social Security payment remittance\n* Worker’s compensation payment remittance\n* Unemployment insurance payment notice\n* Unemployment compensation determination letters\n* 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\n* Bank statements\n* Response from a credit inquiry\n* Or other appropriate indicators of patient's reported income","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Send us your completed application along with the supporting documents to:\nBaylor Scott & White Health\n Attn: Financial Assistance Application\n 301 N Washington Ave\n Dallas, TX 75246"},{"kind":"in_person","detail":"Visit your financial counselor and learn more about your financial assistance options.\nVisit a financial counselor"},{"kind":"phone","detail":"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.\nCall 1.800.994.0371"}],"layer":"documented","quote":"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.\n[Call 1.800.994.0371](tel:+18009940371)\n\n### By mail\nSend us your completed application along with the supporting documents to:\nBaylor Scott & White Health\n Attn: Financial Assistance Application\n 301 N Washington Ave\n Dallas, TX 75246\n\nHave 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.\n[Complete the form](/Patient-Tools/Registration-and-Billing/Patient-Billing-Help-Form)\n\n### In person\nVisit your financial counselor and learn more about your financial assistance options.\n[Visit a financial counselor](/Patient-Tools/Registration-and-Billing/Financial-Assistance/Contact-Us)","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":365,"layer":"documented","quote":"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.","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"1.800.994.0371","layer":"documented","quote":"[Call 1.800.994.0371](tel:+18009940371)","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"8:00 AM - 5:00 PM","layer":"documented","quote":"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.","source_id":"billing-c3a8282ff6fb5992","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"billing-e682083db8413b32","kind":"hospital_web","url":"https://www.bswhealth.com/patient-tools/registration-and-billing","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"e682083db8413b3276dd4eec63d0ed48400a086f1b39b0767e047da7bef993be","effective_date":null},{"id":"billing-18184d9c9a5ce3a9","kind":"hospital_web","url":"https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Good-Faith-Estimate","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"18184d9c9a5ce3a971354a24006a8d9c6838f80b9e707e0d19ed84391d58527b","effective_date":null},{"id":"billing-8bf57d8f2702bc96","kind":"hospital_web","url":"https://www.bswhealth.com/patient-tools/registration-and-billing/surprise-billing-protection","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"8bf57d8f2702bc96e5e85afcf84df1e742636deb004169ab54984d35ed269a13","effective_date":null},{"id":"billing-90213176adedeaf1","kind":"hospital_web","url":"https://www.bswhealth.com/patient-tools/registration-and-billing/financial-assistance","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"90213176adedeaf15844db649c0ab5bb904cc659edd26514079c76db49d6c816","effective_date":null},{"id":"billing-dfda30ca4c94c1a8","kind":"hospital_web","url":"https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Financial-Assistance","title":"managing","fetched_on":"2026-10-10","sha256":"dfda30ca4c94c1a8b1085e2260443c604c2527094b190994d0a0abea83f7deb3","effective_date":null},{"id":"billing-cb25384818a7c914","kind":"hospital_web","url":"https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Financial-Assistance/Contact-Us","title":"Visit a financial counselor","fetched_on":"2026-10-10","sha256":"cb25384818a7c9145a0d688856e5b4e892b47ba9f8346e87d3328c0ac60ee78f","effective_date":null},{"id":"billing-c3a8282ff6fb5992","kind":"hospital_web","url":"https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Financial-Assistance/Program","title":"View BSWH program","fetched_on":"2026-10-10","sha256":"c3a8282ff6fb599296996ba35bd39613c90c756e1a93e1a0255906216a35049f","effective_date":null},{"id":"billing-41fc68318692ddb0","kind":"hospital_web","url":"https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Financial-Assistance/Other-Programs","title":"View other programs","fetched_on":"2026-10-10","sha256":"41fc68318692ddb01063ce43ce2697cce54a96d6214fa0e86be4ffd7217486f1","effective_date":null}],"accuracy":null}