Financial Assistance

Woodlawn Hospital offers a financial assistance program for the citizens of Indiana and other states as well.

Our program can assist patients, insured or uninsured, whose gross family income is from 0% to 300% of the federal poverty guidelines. The program further assists patients who owe the health system for medical bills that are equal to or exceed 50% of their gross family income.

Our financial counselors can help with cost or pricing estimates. Call 574-224-1446.

Our financial assistance policy

Woodlawn Hospital is a not-for-profit health system. Our mission is to serve the people of the region and enhance the health and wellness of the individuals, families and communities we serve. We are committed to providing emergency and medically necessary healthcare services to patients, regardless of their ability to pay.

For patients and patient guarantors with limited financial resources, the health system has established a financial assistance program to help those who qualify in paying for their medical care.

• SELF PAY COLLECTIONS
• ASISTENCIA FINANCIERA
• COBROS DE PAGOS PARTICULARES

Proactive assistance

We have a proud tradition of supporting the community through financial assistance to patients and other types of contributions.

Our assistance guideline is the federal poverty level scale for family income. This allows us to provide discounts to the most deserving and help the underinsured. We will also help patients establish a payment plan and obtain any benefits for which they may qualify.

Financial assistance eligibility

Patients of the health system with annual family income equal to or less than 1.38 times the federal poverty level, and within asset-limit thresholds, may be eligible for financial assistance. For more information about current poverty guidelines, visit the Office of the Assistant Secretary for Planning and Evaluations online.

Some of the program requirements are:

• You must not qualify for other governmental assistance.
• If you have a managed care plan, the health system must be a participating provider.
• If the health system is not a participating provider, your insurance must agree to pay as if it were.

We will help you navigate the complex application process for Medicaid and other government programs. We will also assist you in securing any benefits for which you may qualify.

Types of financial assistance

Family income and assets will be considered when determining eligibility for financial assistance. Discounted care is available to patients with limited assets and family income less than 1.38 times the federal poverty level. Patients not meeting these eligibility guidelines but with extraordinarily high medical expenses may qualify for catastrophic care assistance.

Providers List for Financial Assistance Policy

Fees to uninsured patients

Patients with no insurance coverage will be granted a discount on health system bills for emergency and medically necessary care that is equal to that generally charged to insured patients.

Applying for financial assistance

There are different ways that a patient or family member can apply for financial assistance:

1. Download the application for financial assistance, fill out form and return by mail with supporting documentation. The list of required supporting documents can be found on the application and should be returned with the application.
   • English
   • Spanish
2. Request a financial assistance application by calling the Financial Counseling Team at 574-224-1446.
3. Obtain a copy of the financial assistance application at our physical location located at 710 State Road 25, Rochester, IN 46975.

The application should be completed with as much documentation and as much detail as possible to the following address:

Woodlawn Hospital
Attn: Business Office
1400 East 9th
Rochester, IN 46975

Once received, the application will be reviewed and the requestor will be notified if additional documentation is required. Otherwise, the requestor will receive written notice within 30 days of receipt of the application and required documentation.

Patients or persons responsible for paying patient bills may call 574-224-1446 with questions on this process or related to their bill.

Amount Generally Billed (AGB) Calculation

Woodlawn Health uses the look-back method to calculate the
amount generally billed (AGB) as required by federal law for emergency or
medically necessary care. The AGB is the maximum amount we will collect for a
patient who is eligible for financial assistance under our Financial Assistance
policy. The AGB percentage is based on all claims allowed by Medicare and
private health insurers over a 12-month period, divided by the associated gross
charges for those claims.

For the period January 1, 2023, to December 31, 2023,
Woodlawn Health billed $178,924,907 in gross charges to Medicare, Medicaid and
to private health insurers, of which $61,892,032 in claims were allowed. This
makes the AGB 34.59%.

Calculation: $61,892,032 divided by $178,924,907 equals
34.59%.

For more information

Information on the health system’s financial assistance policy is available upon request.

To request a complete financial assistance policy or a financial assistance application, or if you need assistance completing the application, contact our financial counseling team in patient financial services at 574-224-1446.