Financial Assistance Program

Patients who incur significant financial burden as a result of the amount they are expected to owe for healthcare services may qualify for our Financial Assistance Program. Garrison Memorial Hospital will not discriminate in the provision of services to an individual (i) because the individual is unable to pay; (ii) because payment for those services would be made under Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP); or (iii) based upon the individual’s race, color, sex, national origin, disability, religion, age, or sexual orientation.   

Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CHI works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program
The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines.

The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level. To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income.

Catholic Health Initiatives Financial Assistance Plain Language Summary:
• Financial Assistance PLS (English) - Click Here
• Financial Assistance PLS (Spanish) - Click Here

Catholic Health Initiatives Financial Assistance Policies:
• Financial Assistance Policy 15 (English) - Click Here
• Financial Assistance Policy 16 (English) - Click Here
• Financial Assistance Policy 15 (Spanish) - Click Here
• Financial Assistance Policy 16 (Spanish) - Click Here

Providers Subject to our Financial Assistance Policy:
CHI St. Alexius Health Garrison Covered Providers

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient's financial status.

Catholic Health Initiatives Financial Assistance Application:
• Financial Assistance Application (English) - Click Here
• Financial Assistance Application (Spanish) - Click Here

If you have any questions or to receive a free copy of the application by mail, please call (701)463-2275 or (701)463-2245.