Skip Navigation

Billing and Insurance

Financial Assistance Program

Get the help you need to pay for your care.

También están disponibles en español la información sobre el Programa de Ayuda Financiera y la Solicitud de Ayuda Financiera.

What is the Financial Assistance Program?

The Financial Assistance Program helps those who are unable to pay for the cost of their care.

Who can apply?

All patients and responsible parties are eligible to apply for the Financial Assistance Program. The Financial Assistance Program provides discounts to families:

  • Who are at or below 400% of the Federal Poverty Guideline (FPG) or who have balances billed by St. Charles that total more than their family’s annual income

No individual Financial Assistance Program eligible person will be charged more for emergency or medically necessary care than the amount generally billed.

NOTE: All insurance opportunities and/or reimbursements must be exhausted before a financial discount is applied

How do I get a financial assistance application?

The St. Charles Health System Financial Assistance Program application and policy are available free of charge by:

How do I submit my financial assistance application?

You can submit the St. Charles Health System Financial Assistance Program application by:

  • Fax the completed application to this number: 541-706-6707
  • Drop off completed application at any Financial Counseling location, listed below
  • Mail the completed application to this address:

    St. Charles Health System
    Attn: Financial Assistance
    PO Box 6095
    Bend, OR 97708

General Income Guideline (based on 400% of the 2019 FPG)

Family size Annual income
1 $49,960 or less
2 $67,640 or less
3 $85,320 or less
4 $103,000 or less
5 $120,680 or less
6 $138,360 or less
7 $156,040 or less
8 $173,720 or less
NOTE: For families with more than 8 persons, add $17,680 for each additional person.

Regardless of income, everyone is eligible to apply to determine if they qualify for assistance.

Financial counselors are at the following locations (hours vary by location).


St. Charles Bend (hospital)
2500 NE Neff Rd


St. Charles Redmond (hospital)
1253 N Canal Blvd


St. Charles Prineville (hospital)
384 SE Combs Flat Rd


St. Charles Madras (hospital)
470 NE A Street

Download Financial Assistance Application

Download Financial Assistance Policy