General Acute Care Hospital
Kristine Grajo, Director, PFS Self Pay
Discount Payment 1
Other Government Insurance
Discount Payment 2
Discount Payment 3
Scenarios in which FPL is not a criteria for determining the patient's charity care discount is for Special Circumstance Financial Assistance cases: Financial assistance that provides a discount to eligible patients with annualized family income in excess of 400% of the Federal Poverty Guidelines and financial obligations resulting from medical
services provided by any SHC entity or provider that exceed 10% of annualized family income. Details are included within the policy.
Other: Income Tax Returns
Current policy effective July 2020. Updated to include section describing SHC-VC's policy not to engage in any extraordinary collection actions (ECA's) and reference to SHC-VC's Debt Collection Policy. Financial Assistance department location and contact information also updated.