ASCENSION SETON WILLIAMSON
ROUND ROCK, TX · version 1 · published · JSON
eligibility.free_care_max_fpl250% of the federal poverty level"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 2026-10-10 · English
apply.form_urlhttps://ascension.forms.r1rcm.com/seton/fa"[Start Application](https://ascension.forms.r1rcm.com/seton/fa)"
documented · checked 2026-10-10 · Financial assistance at Ascension Seton in Texas | Ascension
apply.documents_requiredProof of incomeSocial Security letter
Tax return
Pay stubs
Bank statements
Medicaid denial letter
"Along with the application, you will need to provide verification of your household’s income and verification of all assets owned by any household member. Examples of proof of income and assets include: • Copies of 3 most recent paystubs from employer • Copies of most recent yearly tax return (if self-employed, include all schedules) • Social Security and/or Pension Retirement Award Letter • Parent or guardian’s most recent yearly tax return, if applicant is a dependent listed on their tax form and under the age 25 • Copy of receipt of unemployment benefits • Approval/denial of eligibility for Medicaid and/or state-funded medical assistance • Other income validation documents Examples of proof of assets include: • Current bank statements (checking and savings accounts) from last 3 months • Investments, including stocks and bonds • Trust funds • Money market accounts • Mutual fund"
documented · checked 2026-10-10 · Financial Assistance Application
apply.window_days_from_first_bill240 days"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 2026-10-10 · English
contacts.phone512-324-1125"Help and/or additional information regarding Ascension Seton’s financial assistance policy is available by contacting Patient Financial Services (PFS) Customer Service at [512-324-1125](tel:5123241125) or [800-749-7624](tel:8007497624), by calling the facility where you received care or in person in Patient Access at any of our facilities."
documented · checked 2026-10-10 · Financial assistance at Ascension Seton in Texas | Ascension
contacts.hoursMonday through Friday 8 am – 4:30 pm"Financial counselors are available Monday through Friday 8 am – 4:30 pm. For additional assistance please contact a counselor associated to the location where services were performed."
documented · checked 2026-10-10 · Manage your bill at Ascension Seton in Texas | Ascension
contacts.languagesEnglishArabic
Chinese (Simplified)
Chinese (Traditional)
Farsi
French
German
Gujarathi
Hindi
Japanese
Korean
Portuguese
Russian
Spanish
Tagalog
Urdu
Vietnamese
"* [English](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_english_financial-assistance-policy.pdf) * [Arabic](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_arabic_financial-assistance-policy.pdf) * [Chinese (Simplified)](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_chinese_simplified_financial-assistance-policy.pdf) * [Chinese (Traditional)](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_chinese_traditional_financial-assistance-policy.pdf) * [Farsi](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_farsi_financial-assistance-policy.pdf) * [French](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_french_financial-assistance-policy.pdf) * [German](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_german_financial-assistance-policy.pdf) * [Gujarathi](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_gujarathi_financial-assistance-policy.pdf) * [Hindi](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_hindi_financial-assistance-policy.pdf) * [Japanese](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_japanese_financial-assistance-policy.pdf) * [Korean](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_korean_financial-assistance-policy.pdf) * [Portuguese](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_portuguese_financial-assistance-policy.pdf) * [Russian](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_russian_financial-assistance-policy.pdf) * [Spanish](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_spanish_financial-assistance-policy.pdf) * [Tagalog](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_tagalog_financial-assistance-policy.pdf) * [Urdu](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_urdu_financial-assistance-policy.pdf) * [Vietnamese](/-/media/healthcare/financial-assistance/texas/txaus/fap/runningfile_txaus_vietnamese_financial-assistance-policy.pdf)"
documented · checked 2026-10-10 · Financial assistance at Ascension Seton in Texas | Ascension
coverage.facilitiesAscension Seton BastropAscension Seton Cedar Park
Ascension Seton Edgar B. Davis
Ascension Seton Hays
Ascension Seton Highland Lakes
Ascension Seton Medical Center Austin
Ascension Seton Northwest
Ascension Seton Smithville
Ascension Seton Southwest
Ascension Seton Williamson
Dell Children's Medical Center
Dell Seton Medical Center at The University of Texas
"These financial assistance documents cover services provided at: * Ascension Seton Bastrop * Ascension Seton Cedar Park * Ascension Seton Edgar B. Davis * Ascension Seton Hays * Ascension Seton Highland Lakes * Ascension Seton Medical Center Austin * Ascension Seton Northwest * Ascension Seton Smithville * Ascension Seton Southwest * Ascension Seton Williamson * Dell Children's Medical Center * Dell Seton Medical Center at The University of Texas"
documented · checked 2026-10-10 · Financial assistance at Ascension Seton in Texas | Ascension
Sources
Financial assistance at Ascension Seton in Texas | Ascension — fetched 2026-10-10
Financial Assistance Application — fetched 2026-10-10
[PDF] Ascension Seton Medical Group — fetched 2026-10-10
Manage your bill at Ascension Seton in Texas | Ascension — fetched 2026-10-10
English — fetched 2026-10-10
Arabic — fetched 2026-10-10
Chinese (Simplified) — fetched 2026-10-10
Chinese (Traditional) — fetched 2026-10-10