NORTHWEST HILLS SURGICAL HOSPITAL

"Subject to the other provisions of this Financial Assistance Policy, Patients with income less than or equal to 250% of the Federal Poverty Level income ("FPL"), will be eligible for 100% charity care on that portion of the charges for services for which the Patient is responsible following payment by an insurer, if any, if such Patient determined to be eligible pursuant to presumptive scoring (described in Paragraph 5 below) or submits a financial assistance application (an "Application") on or prior to the 240th day after the Patient’s first discharge bill and the Application is approved by the Organization."

documented · checked 2026-10-14 · Financial Assistance Policy

"In each of the aforementioned accessible locations, the FAP Application and FAP Application instructions are available in English, Spanish, Chinese, Vietnamese, Korean, and Arabic."

documented · checked 2026-10-14 · Financial Assistance Policy

"Patient will be eligible for up to 100% financial assistance if Patient submits the Application after the 240th day after the Patient’s first discharge bill, but then the amount of financial assistance available to a Patient in this category is limited to Patient’s unpaid balance after taking into account any payments made on Patient’s account."

documented · checked 2026-10-14 · Financial Assistance Policy

"To request a copy of the documents by mail, Patients should call the Patient Financial Services department at 512-324-1125."

documented · checked 2026-10-14 · Financial Assistance Policy

"In each of the aforementioned accessible locations, the FAP Application and FAP Application instructions are available in English, Spanish, Chinese, Vietnamese, Korean, and Arabic."

documented · checked 2026-10-14 · Financial Assistance Policy

"• Northwest Hills Surgical Hospital"

documented · checked 2026-10-14 · Financial Assistance Policy