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Financial Assistance
 
 Back to Billing, Payment & Financial Services




     
       
      

    Financial Assistance

     

     

    At Dignity Health, we are committed to providing compassionate, high-quality care to the communities we serve. If you don't have health insurance, our financial counseling staff is here to help you to find and access government or private programs that may help you pay for health care.

    The first step is to see if you are eligible for a government-sponsored health program (i.e. Medi-Cal/Medicaid, Medicare, disability). Financial Counselors are available to work with you to complete the application process. If you qualify, these programs can provide access to health care and other vital social services for you and your family. If you need assistance, please call a Financial Counselor at 909.806.1281.

    If you are not eligible for a government program, you may qualify for Dignity Health's needs-based Financial Assistance program.

    Step oneFill out Dignity Health's Financial Assistance Application (Armenian)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Hmong)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Japanese)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Korean)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Russian)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Simplified Chinese)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Spanish)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Tagalog)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application
    Step oneFill out Dignity Health's Financial Assistance Application (Vietnamese)
     
    Step twoCollect additional documents outlined in the application
     
    Step threeMail your application and documents to the address noted on the application

    For answers to your questions and assistance with the process, call our Customer Service team at 888.488.7667.

     

    Learn More About Dignity Health’s Financial Assistance Program

    Hospital Billing and Financial Assistance Overview (Vietnamese)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Vietnamese)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Vietnamese)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Vietnamese)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Tagalog)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Tagalog)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Tagalog)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Tagalog)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Simplified Chinese)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Simplified Chinese)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Simplified Chinese)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Simplified Chinese)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Russian)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Russian)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Russian)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Russian)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Korean)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Korean)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Korean)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Korean)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Japanese)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Japanese)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Japanese)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Japanese)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Hmong)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Hmong)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Hmong)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Hmong)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Spanish)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Spanish)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Spanish)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Spanish)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview (Armenian)
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary (Armenian)
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy (Armenian)
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed (English Only)
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy (Armenian)
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.
    Hospital Billing and Financial Assistance Overview
    Allow us to help you understand your bill and what financial assistance we offer.
     
    Financial Assistance Policy-Plain Language Summary
    Read about Dignity Health's Financial Assistance Policy in layman's terms.
     
    Financial Assistance Policy
    Review Dignity Health's Financial Assistance Policy-from applying for support to processing your application.
     
    Amount Generally Billed
    If you qualify for partial support from Dignity Health, learn the amounts generally billed for services at Dignity Health hospitals.
     
    Billing and Collections Policy
    Learn about Dignity Health's guidelines regarding billing and collections for
    services we provide.

    List Of Participating Providers

    Dignity Health’s Financial Assistance Policy covers hospital services, including those provided by Dignity Health’s employees at each hospital facility.  Services provided by physicians (other than resident physicians, where applicable) within Dignity Health hospital facilities are not covered by the Financial Assistance Policy unless those physicians are specifically identified below.

    Please Note:  Under California law, emergency physicians who are contracted by Dignity Health to work in the emergency department of the hospital are required to maintain their own discount and charity care policies.

    Additional Resources

    Covered California
    Marketplace for individuals and small businesses to find affordable coverage in California (Affordable Care Act)

    COBRA
    An employee’s guide to health benefits under COBRA

    Medi-Cal
    Free or low-cost health coverage for children and adults with limited income and resources

      
       
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