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 FC@hoag.org. 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 towww.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.

View Hoag’s Plain Language Summary: Notice of Availability of Financial Assistance

Provider Listings

Hoag’s financial assistance policy applies only to services billed by Hoag. None of the providers delivering emergency and medically necessary care, other than Hoag Hospital, are covered by Hoag’s financial assistance policy. Download a list of provider’s providing emergency or other medically necessary care in Hoag’s facilities that are not covered by Hoag’s financial assistance policy here.

Providers that do not follow Hoag’s financial assistance policy may have their own financial assistance policies, so please contact the provider directly if you have questions regarding their policies.

Financial Assistance and Charity Care Applications & Forms:

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

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

Return Options:

Fax:

949-764-7031

Mail:

Patient Financial Services
Attn: Charity Care Specialist
2975 Red Hill Ave., Suite 200
Costa Mesa, CA 92626

Email:

PFS@hoag.org

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 regarding Financial Assistance, please contact Hoag Patient Financial Services at (949) 764-8400. We are available Monday through Friday from 8:00 AM to 4:30 PM. We are closed weekends and all major holidays.