|
Alternate Name
|
Frederick Health Hospital, Financial Assistance
|
|
Description
|
FINANCIAL ASSISTANCE: Sliding scale payment is offered to low income individuals and families who receive services that are billed through Frederick Health. Uninsured individuals are required to apply for any employer, State, or Federal insurance coverage first. Program is based on Federal Income Guidelines of the household, assets owned by the household, and household size. FHH Financial Assistance only applies for services provided by an FHH employee of a practice that start with the name Frederick Health Medical Group (formerly known as Monocacy Health Partners), which is part of Frederick Health. Providers can also be found on the Find A Provider page. NOTE: Certain Frederick Health services are performed by contracted providers who are not employees or agents of Frederick Health. Contracted providers bill separately for their services, consultations, and interpretations. Financial Assistance through FHH does not apply towards services that are performed by contracted providers.
|
|
|
|
|
|
Defined coverage areas: Maryland
|
|
|
|
| |
|
|
|
Hours of operation: Mon: 9AM 4PM Tue: 9AM 4PM Wed: 9AM 4PM Thu: 9AM 4PM Fri: 9AM 4PM
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Eligibility
|
Open to MD residents who have filed income taxes.
Non-citizens with tax returns are eligible to apply.
|
|
Availability
|
May be used at most 1 time per 1 year(s)
|
|
Languages Offered
|
Tele-interpreting available.
|
|
Program Fees
|
None
|
|
Application Process
|
Submit completed application and required documentation via mail, email, or by dropping off at Cashier's desk in hospital. Must re-submit new application with new documentation every 12 months.
|
|
Documents Required
|
* Completed application;
* photo ID;
* income verification;
* proof of MD residency;
* last 3 months of checking, savings, and investment accounts;
* approval letter from a public assistance program (SNAP, Section 8, MEAP, TCA);
* proof of insurance application with effective date of coverage -or- coverage denial letter.
|
|
|
|
|
|
|
|
Normal Wait Times
|
14 days
|
|
|
|
|
|
|
|
Programs at this agency
|
Frederick Health, Hospice Services Frederick Health, Hospital Frederick Health, James M Stockman Cancer Institute Frederick Health, Home Care Frederick Health, Cancer Care Frederick Health, Employer Solutions Frederick Health, Diabetes Prevention and Management Frederick Health, Inpatient Psychiatric Frederick Health, Auxiliary Prenatal Center Frederick Health, Crestwood Frederick Health, Psychiatric Partial Hospitalization and Intensive Outpatient Frederick Health, Dental Clinic Frederick Health, Advance Care Planning Frederick Health, Bereavement Services Frederick Health, Virtual Visit Frederick Health Hospital - For ReferralQ Only Frederick Health, Family Connects Frederick County Frederick Health, Toll House
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fax Number
|
240-566-7944
|
|
|
|
|
Financial Assistance
|
240-566-4214
|
|
FHH Front Desk
|
240-566-3300
|
|
|
|
|
|
|
|
|
|
|
Main Email Address
|
[email protected]
|
|
Main Contact Name
|
|
|
Main Contact Title
|
|
|
Main Contact Phone
|
|
|
Main Contact Email Address
|
|
|
|
|
|
Director or Senior Administrator Title
|
|
|
Director or Senior Administrator Phone
|
|
|
Director or Senior Administrator Email Address
|
|
|
Sites offering this Program
|
400 West 7th Street, Frederick County
|
|