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 September 01, 2020)
• Financial Assistance Discount Percentages (Updated October 01, 2021)
• Financial Assistance Guidelines (Updated October 01, 2021)
• Listing of Medical Providers Covered and Not Covered by Financial Assistance Policy (Updated August 1, 2021)

Versiones en español

• Resumen en lenguaje llano
• Política del programa de ayuda financiera
• Instrucciones de solicitud de ayuda financiera
• Solicitud de ayuda financiera (Actualizado 1 de septiembre de 2020)
• Porcentajes de descuentos de ayuda financiera (Actualizado 1 de octubre de 2021)
• Pautas de asistencia financiera (Actualizado 27 de enero de 2021)
• Lista de proveedores médicos cubiertos y no cubiertos por la política de ayuda financiera (Actualizado 1 de agosto 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 hospitalbillinghelp@StormontVail.org.