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 2018 FPG)
|| Annual income|
||$48,560 or less|
||$65,840 or less|
||$83,120 or less
||$100,400 or less
||$117,680 or less
||$134,960 or less
||$152,240 or less|
||$169,520 or less|
NOTE: For families with more than 8 persons,
add $17,280 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