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Hospital Charity Policy
IMPORTANT NOTICE TO PATIENTS
REGARDING
THE HOSPITAL CHARITY POLICY
Effective
February 1, 2009 / Revised October 1, 2009
In
accordance with federal EMTALA regulations and state law,
Touchette Regional
Hospital
campuses will evaluate all emergency room patients for
emergency medical conditions regardless of insurance
coverage or the ability of patients to pay.
Patients presenting for emergent services will be
reviewed for charity eligibility and receive eligibility
determination during the registration process.
Patients
that do not have any coverage or do not qualify for any
coverage and request non-emergent hospital services at
Touchette Regional Hospital campuses will
be reviewed for eligibility under the Hospital’s charity
policy either prior to the service being received or at
the time of the service.
Initial determination will be based upon the
following criteria:
The
patient is an established resident whose primary address
is within the Hospital service area.
or
The
patient is currently established with a primary physician
or specialist that is on staff at the Hospital and it is
that physician that is ordering the services.
Once
initial eligibility is determined, the total amount of
charity received will be contingent upon the patient’s
overall financial situation and any rules and regulations
set forth by the federal government or the State of
Illinois
. If immediate
confirmation cannot be made, or the total amount of
charity cannot be determined, the patient may be asked to
provide further documentation and the Charity
determination will be postponed until eligibility can be
confirmed. The
Hospital reserves the right to postpone final eligibility
approval and the requested service in accordance with
regulations and guidelines set forth by the federal
government or the State of
Illinois
.
200%
300% 450%
600%
Federal
Poverty Level Charity
Discount *
100%
70%
55%
30%
(updated
2009)
*
Not to exceed rules and regulations set forth by
the State of
Illinois
.
Patients
presenting for non-emergent services and who meet the
initial determination criteria but do not qualify for 100%
charity, a non-refundable minimum deposit will be required
prior to receiving non-emergent services.
Patients that do not qualify for any charity will
be required to pay an estimated cost for the service which
will be determined prior to the service and payable prior
to receiving the requested non-emergent service.
Patients
that elect to enter our New Vision Program and/or those
patients that have qualified for grant money from other
programs associated with either facility are
not eligible to receive benefits from the Hospital’s
charity program. Other
exclusions include those patients that currently have
coverage, but whose coverage is insufficient for the
requested service.
If
you have any further questions regarding financial
assistance provided to patients at either facility, or
would like to know the status of your eligibility, please
contact Touchette Customer Service at 332-5215 during
normal business hours.
Administration
Touchette Regional Hospital
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