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Patient Financial Aid

Financial Assistance Policy
Stonewall Jackson Memorial Hospital (SJMH) is committed to providing financial assistance to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. Consistent with its mission to deliver compassionate, high quality, affordable healthcare services and to advocate for those who are poor and needy, SJMH strives to ensure that lacking financial capacity does not prevent our community members from seeking or receiving care. SJMH will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for financial assistance or for government assistance.

What services are eligible for Financial Assistance?
Emergency medical services provided in an emergency room setting;
Services for a condition which, if not promptly treated, would lead to an adverse change in the    health status of an individual;
Non-elective services provided in response to life-threatening circumstances in a non-emergency    room setting; and
Medically necessary services, evaluated on a case-by-case basis at SJMH's discretion.

Who is eligible for Financial Assistance?
Individuals who are uninsured, underinsured, ineligible for any government health care benefit    program, and who are unable to pay for their care, based upon a determination of financial need    in accordance with this Policy;
Patients whose family income is at or below 150% of the Federal Poverty Level are eligible to    receive free care;
Patients whose family income is above 150% but not more than 162% of the Federal Poverty    Level are eligible to receive services at amounts no greater than the amounts generally billed to    commercially insured or Medicare patients; and
Patients whose family income exceeds 162% of the Federal Poverty Level may be eligible to    receive discounted rates on a case-by-case basis based on their specific circumstances, such as    catastrophic illness or medical indigence, at the discretion of SJMH; however the discounted rates    shall not be greater than the amounts generally billed to commercially insured or Medicare    patients.

How do I apply for Financial Assistance?
If you feel that you may meet the requirements above, an application may be obtained from the following sources:

Our SJMH website: www.stonewalljacksonhospital.com
   Go to "Patients & Visitors"→ "Patient Financial Aid"; or
By calling or visiting the Credit Department at 304-269-8502, 304-269-8538 or 304-517-1083    between 7:00 AM and 3:00 PM, Monday - Friday. Please leave a message.

Completed applications can be mailed to our Credit Department, 230 Hospital Plaza, Weston, WV 26452 or can be delivered to our Credit Department on the 2nd floor of the hospital in Administration. They can also be delivered on the 2nd floor of 402 Medical Park Drive, Weston, WV 26452.

SJMH shall notify the patient or applicant in writing of our decision within 45 days of receipt of a completed application.

Our full Financial Assistance Policy is available:

For download on our website: www.stonewalljacksonhospital.com
By calling our Credit Department at 304-269-8502, 304-269-8538 or 304-517-1083

Financial Aid Application and Information
Click here for the application

Patient Financial Aid Policy in its entirety
Click here for the policy

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