The Helping Hands Program provides financial assistance for our patients who:
✓ Are uninsured
✓ Are underinsured
All patients are eligible to apply for financial assistance, including those with insurance. Established discount guidelines are utilized to determine what amount, if any, will qualify for financial assistance.
DO I QUALIFY?
✓ Generally, patients with family income at or below 200% of the Federal Poverty Guidelines (FPG) will receive a 100% discount.
✓ Patients with family incomes greater than 200% — up to 500% of FPG, with medical bills exceeding 5% of their yearly income, are eligible for a 95% discount.
Each patient’s eligibility will be evaluated according to relevant circumstances, household income and other financial resources available to the patient or patient’s family, and outstanding medical bills.
HOW DO I APPLY?
Free copies of the Financial Assistance Policy and the Financial Assistance application can be obtained through any of the following sources:
Contact a Customer Service Representative at 877.516.0911, Option 1.
Request an application in person at The Hospitals of Providence Neighborhood Hospitals.
You may also request a copy of the application via mail at the address provided below.
Send the completed application and all requested documents by Registered Mail to the following address:
The Hospitals of Providence
Attn: Customer Service
8686 New Trails Drive, Suite 100
The Woodlands, TX 77381
HOW WILL I BE NOTIFIED?
If a submitted application qualifies for the Helping Hands Financial Assistance Program benefits, a Customer Service Representative will contact the patient via telephone.
A patient who qualifies for Financial Assistance will not be charged more for emergency or other medically necessary care than the amounts generally billed to patients with insurance.
English, Spanish and certain other language versions of this communication, along with the financial assistance policy and financial assistance application, are available upon request.