Patients may apply for financial assistance from the date a patient is scheduled for service through the 365th day after the first billing statement is provided. However, eligibility for financial assistance only applies to emergency and other medically necessary care. Only United States citizens and residents of the United States are eligible for financial assistance. Each eligible patient’s situation will be evaluated according to relevant circumstances, such as income or other resources available to the patient or patient’s family when determining the ability to pay the patient account balance.
When a patient’s circumstances do not satisfy the requirements under the Financial Assistance Eligibility Discount Guidelines or Eligibility Criteria, a patient with unusual mitigating factors may still be able to obtain financial assistance. In these situations, the Financial Assistance Committee will review all available information and make a determination on the patient’s eligibility for financial assistance.
The patient must provide information regarding the patient’s financial status and complete an application to be qualified for assistance. If you do not meet the income limits and cannot pay your bill, Baylor Scott & White offers an extended, interest-free payment plan to those patients.
Please note: Except indicated in the BSWH Provider List (Attachment C) of Baylor Scott & White's Financial Assistance policy, the financial assistance offered under this Policy does not apply to services provided by any physicians or other professionals.
If you received services from a HealthTexas Provider Network (HealthTexas) physician, you may be eligible for Baylor Scott & White's Financial Assistance Program. For more information, please visit HealthTexas' website and read more about HealthTexas' financial assistance policy.
To find out if you qualify, please provide the following information during your application process:
- Household Size1
- Yearly Household Income2, which must be verified by one or more of the following financial documentation (listed in order of preference):
- Pay check remittance
- Wage and Tax Statement
- Individual tax return
- Telephone verification by employer of Patient’s Reported Income
- Social Security payment remittance
- Worker’s compensation payment remittance
- Unemployment insurance payment notice
- Unemployment compensation determination letters
- Proof of participation in governmental assistance programs such as food stamps, County Indigent Health Program (CDIC), Aids to Families with Dependent Children (AFDC), Medicaid, Women, Infants, and Children (WIC), or Temporary Assistance for Needy Families (TANF), TexCare Partnership
- Bank statements
- Response from a credit inquiry
- Or other appropriate indicators of patient's reported income
1Adults: In calculating the Household Size, include the patient, the patient’s spouse, and any dependents (as defined by the Internal Revenue Code (IRC)).
Minors: In calculating the Household Size, include the patient, the patient’s mother, the patient’s father, dependents of the patient’s mother, and dependents of the patient’s father.
2Adults: If the patient is an adult, “Yearly Household Income” means the sum of the total yearly gross income or estimated yearly income of the patient and the patient’s spouse.
Minors: If the patient is a minor, "Yearly Household Income" means the sum of the total yearly gross income or estimated yearly income of the patient, the patient's mother and the patient's father.