Community Care Discount Program

Do You Need Help With Your Hospital Bill?

We understand that some patients are not able to pay all of their hospital bills. For that reason, Carle Foundation Hospital has established the Community Care Discount Program to provide discounts or free care to those who need it.

 

Community Care Discount Program -  Discount Table Effective 02/08/2007.*
If Your Family Size Is:	And your family income is at or below:
1	$20,800	$23,920	$28,080	$31,200	$41,600
2	28,000	32,200	37,800	42,000	56,000
3	35,200	40,480	47,520	52,800	70,400
4	42,400	48,760	57,240	63,600	84,800
5	49,600	57,040	66,960	74,400	99,200
6	56,800	65,320	76,680	85,200	113,600
7	64,000	73,600	86,400	96,000	128,000
8	71,200	81,880	96,120	106,800	142,400
You Receive a Discount off Carle Foundation Bills of:	100%	75%	50%	25%	-
And your Carle Foundation out-of-pocket medical expenses are limited to 40% of your annual gross income.
Federal Poverty Level	200%	230%	270%	300%	400%
Regardless of income level, all uninsured patient who pay their bill within 30 days will receive a 25% discount .

The following are some general guidelines about the program:

1. Your eligibility will be based on a review of your family's income for the past 12 months. We will ask you to provide documentation about your income. We will also ask you questions about any assets you may have, including savings accounts and investments. A reasonable amount of those assets may be applied to your bill before you will be considered for discounted or free care. We do not look at any assets considered part of the "homestead exemption" such as your house or car. Your patient representative can explain how much savings is considered allowable under the Community Care Program.
2. Discounted/free care will be approved only after all third-party insurance payments, worker's compensation, public aid or other payments have been received. Discounted/free care will be applied to the balance due after such payments are received.
3. We may ask you to apply for public assistance before granting a discount or free care. We will be happy to assist you in filling out application forms or arranging transportation to the public aid office. Please ask if you need that type of help.
4. We will determine if you are eligible for Carle's Community Care Program within five working days after your application is filed. If for some reason we are not able to make a determination within five days, we will notify you by letter as to the reason for the delay.
5. Application forms
   English
   En Español

Please let your patient representative or social worker know if you think you need help with your bill. We won't necessarily know that you need help unless you tell us that you do.

Applications for free or discounted care are administered on an individual basis, taking into consideration all of your specific circumstances and needs. If you are not accepted for this type of financial assistance, you may appeal that decision to the Director of the Patient Accounting Office or the Chief Financial Officer.

If You Have Other Questions
If you still have questions, please feel free to call your patient service representative at (217) 326-2900 and tell them you want more information on the Community Care Discount Program. We want you to understand all your options, and we want to help wherever possible.

Carle Foundation Hospital
Patient Accounting Department
810 W. Anthony Drive
Urbana, IL 61801
Phone: 217-326-2900
Fax: 217-344-8047

* Coverage is based on 2005 Federal Poverty Guidelines.