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.
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
Call Hoag’s Charity Care Specialist at
949-764-8413 for any questions.
Return Options:
Mail:
Patient Financial Services
Attn: Charity Care Specialist
2975 Red Hill Ave., Suite 200
Costa Mesa, CA 92626
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].