BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY

"Generally, qualifying patients with family income at or below 200% of the Federal Poverty Guidelines (FPG) will receive a 100% discount."

documented · checked 2026-10-10 · [PDF] Plain Language Summary Financial Assistance Policy

"Participation in a Means Tested Benefit Program. By the provision of documentation showing current participation in a public benefit program such as Medicaid; County Indigent Health Program; AFDC; Food Stamps; WIC; Medicare Low Income Subsidy; TexCare Partnership; or other similar means tested programs. Proof of Participation in any of the above programs indicates that the patient has been deemed Financially Indigent and therefore, is not required to provide his or her income on the Assistance Application."

documented · checked 2026-10-10 · Baylor Scott & White Health Page 1 of 10 Title: Financial Assistance (Hospital Facilities)

"Household income will be documented through any of the following mechanisms: 5.3.i. Third Party Documentation. By the provision of third party financial documentation including IRS Form W-2; Wages and Tax Statement; pay check remittance; individual tax return; telephone verification by employer; bank statements; Social Security payment remittance; Worker's Compensation payment remittance; unemployment insurance payment notice; Unemployment Compensation Determination Letters; response from a credit inquiry and other publicly available information; or other appropriate indicators of the patient's income."

documented · checked 2026-10-10 · Baylor Scott & White Health Page 1 of 10 Title: Financial Assistance (Hospital Facilities)

"How to apply for financial assistance: Free copies of the FAP and the FAP application, and assistance with answering questions and completing the application, can be obtained through any of these sources:  In person: At the location where services were performed  Over the phone: 1.214.407.5359  Online: BSWHealth.com/FinancialAssistance  By Mail: Baylor Scott & White Medical Center – Frisco Attn: Business Office Financial Assistance 5601 Warren Pkwy Frisco, TX 75034"

documented · checked 2026-10-10 · [PDF] Plain Language Summary Financial Assistance Policy

"Patients may apply for financial assistance from the date a patient is scheduled for service or the service is rendered, whichever is earlier, through the 365th day after the first billing statement is provided (except as provided in Section 5.4.iii)."

documented · checked 2026-10-10 · Baylor Scott & White Health Page 1 of 10 Title: Financial Assistance (Hospital Facilities)