Hoag's Financial Assistance and Charity Care

Mission

Our mission as a nonprofit, faith-based hospital is to provide the highest quality health care services to the communities we serve.

What is the Patient Financial Assistance Program?

Hoag Hospital’s Financial Counseling Department offers free financial screenings for people who do not have health insurance and cannot pay their hospital bill, as well as patients who do have insurance, but are unable to pay their portion of the bill that insurance does not cover.

Our Financial Counselors will review your eligibility for Medicare, Healthy Families Program, Medi-Cal, or other coverage offered through the California Health Benefit Exchange, California Children’s Services program, other state- or county-funded health coverage, or charity care. If you already have coverage through one of these programs please notify our Financial Counselors immediately. Patients ineligible for government assistance may still qualify for discount or charity programs available through Hoag Hospital.

View Hoag's Financial Assistance and Charity Care Policy

How and When to Apply

Please contact our Financial Counselors immediately after discharge or completion of services by calling 949-764-5564 or by e-mail at [email protected]. We can assist with your application and provide the applications for Medicare, Healthy Families Program, Medi-Cal, or other coverage offered through the California Health Benefit Exchange, California Children’s Services program, other state- or county-funded health coverage. You may also be referred to www.OCGOV.com for local assistance.

If you lack, or have inadequate, insurance, and you meet low- and moderate-income requirements, you may qualify for discounted payment or charity care. Please remember that access to necessary health care is not affected by eligibility for financial assistance. Hoag Memorial Hospital is committed to treating all those who come to us for care.

Financial Assistance and Charity Care Applications & Forms:

• Charity Care Application - English
• Declaración Financiera para el Hospital Hoag

You may also apply directly for the above programs by accessing their website directly:

• Medi-Cal: http://www.dhcs.ca.gov/services/medi-cal/pages/applyformedi-cal.aspx
• Affordable Care Act: www.HealthCare.gov to apply by phone Call 1-800-318-2596
• Medicare: www.ssa.gov/medicare/apply.html
• Hoag Charity care program: www.Hoag.org (Patient & Visitors tab, Billing, Charity Care Application)

Supporting Charity Application Documentation

Please also provide additional financial documents for single or for both applicants, if married:

• 2 recent paycheck stubs
• 2 recent bank statements
• Proof of rent or mortgage
• Most recent tax year return

Call Hoag’s Charity Care Specialist at 949-764-8413 for any questions.

Return Options:

Confidentiality

We understand that the need for financial assistance can be a sensitive and deeply personal issue. We are committed to maintaining the confidentiality of requests, information and funding.

Questions

For more information please contact one of our Financial Counselors at 949-764-5564, we are available Monday through Friday from 8:30 AM to 4:30 PM, or by Email at [email protected].