Saint Alphonsus Medical Center — Ontario is a community hospital with a long tradition of compassionately caring for others. When people come to us for excellent healthcare, we provide it. When they tell us that they cannot afford the care, we help. That is our values in action.
Individuals seeking help will be referred to one of our financial counselors and are required to complete an application for charitable service. Patients who qualify for financial assistance will be identified as soon as possible, either before services are provided or after receiving services to stabilize their medical condition.
If it is difficult to determine a patient’s eligibility for financial assistance prior to providing service, the determination will be made as soon as possible after the service or care is provided.
Proof of income will be requested to prove eligibility for assistance. We require some of the following:
- The last three months of pay stubs or a W-2 form.
- Most recent copies of bank statements.
- A copy of current and/or previous year’s tax return.
- Denial or approval from Medicaid.
- Copy of Medicare Annual Benefit letter.
Individuals that qualify for financial assistance will also be screened to determine if they are eligible for assistance from any federal, state or county programs.
All available financial resources will be evaluated before determining financial assistance eligibility, including those of the patient and those having responsibility to provide for the patient. Individuals that meet requirements for assistance programs will not be required to provide additional information.
Examples of these programs are Women’s, Infants and Children’s (WIC) program, clinics for the homeless, etc. Proof of qualification will be required.
Saint Alphonsus Medical Center — Ontario may refer an individual to appropriate alternative programs or services within our community. Saint Alphonsus Medical Center — Ontario will make every effort to locate alternative payment sources for the patient.
For more information please visit our customer service representatives in patient financial services or call 541-881-7035.