Financial Services: Financial Assistance Program

Stormont Vail Health’s mission is, “Working together to improve the health of community.” As part of our mission, Stormont Vail Health has a Financial Assistance Program (FAP) for our patients who are financially unable to pay for emergency or other medically necessary care. A patient determined to be eligible for financial assistance will not be charged more for emergency or other medically necessary care than the amounts generally charged to patients who have insurance covering such care.

Financial Assistance Documents

English Versions

• Plain Language Summary
• Financial Assistance Policy
• Financial Assistance Application Instructions
• Financial Assistance Application (Updated November 29, 2021)
• Financial Assistance Discount Percentages (Updated November 29, 2021)
• Financial Assistance Guidelines (Updated November 29, 2021)
• Listing of Medical Providers Covered and Not Covered by Financial Assistance Policy (Updated November 1, 2021)

Versiones en español

• Resumen en lenguaje llano
• Política del programa de ayuda financiera (Actualizado 11 de noviembre de 2021)
• Instrucciones de solicitud de ayuda financiera
• Solicitud de ayuda financiera (Actualizado 29 de noviembre de 2021)
• Porcentajes de descuentos de ayuda financiera (Actualizado 29 de noviembre de 2021)
• Pautas de asistencia financiera (Actualizado 29 de noviembre de 2021)
• Lista de proveedores médicos NO cubiertos por la política de asistencia financiera (Actualizado 1 de noviembre de 2021)

Additional Information

We hope this information has been helpful for you. To learn more about financial assistance, or if you have any questions about the Stormont Vail Health’s Financial Assistance Program, please contact a Customer Service Representative at (785) 354-1150 or (800) 637-4716, or by email at [email protected].