Medicaid Applications are required for high dollar encounters, i.e. Inpatients, Observation, SDC’s (Same Day Outpatient Surgeries) Accounts with no insurance until presumptive scoring is used for automated approvals of financial assistance for active accounts (non-bad debt). Insurance deductibles of $1,000 or more Approval Period: Medicare eligible individual – 1 year Non-Medicare individual - 6 months Insurance will be deleted from demo recall based on the expiration dates. Disclaimer Points: You must apply within 240 days from date of self-pay balance or application will be denied. Any material misrepresentations will result in the reversal of approved applications, and denial of open applications. Any related reductions will be reversed and the applicant will be barred from participation for a period of 3 years. Services considered to be personal and/or cosmetic will not qualify for Financial Assistance. Medical savings, reimbursement and all other similar accounts must be depleted prior to providing any type of financial assistance Federal Poverty Guidelines for 2016 Punxsutawney Area Hospital Charity Care Income Guidelines Effective February 1, 2016
Medicaid Applications are required for high dollar encounters, i.e. Inpatients, Observation, SDC’s (Same Day Outpatient Surgeries) Accounts with no insurance until presumptive scoring is used for automated approvals of financial assistance for active accounts (non-bad debt). Insurance deductibles of $1,000 or more Approval Period: Medicare eligible individual – 1 year Non-Medicare individual - 6 months Insurance will be deleted from demo recall based on the expiration dates. Disclaimer Points: You must apply within 240 days from date of self-pay balance or application will be denied. Any material misrepresentations will result in the reversal of approved applications, and denial of open applications. Any related reductions will be reversed and the applicant will be barred from participation for a period of 3 years. Services considered to be personal and/or cosmetic will not qualify for Financial Assistance. Medical savings, reimbursement and all other similar accounts must be depleted prior to providing any type of financial assistance Federal Poverty Guidelines for 2016 Punxsutawney Area Hospital Charity Care Income Guidelines Effective February 1, 2016
financial%20assistance%20policy%20CHARITY%20CARE%20APP%202016%2002.docx