Federal Poverty Level Catholic Healthcare West Adventist Health Providence Health System Sutter Health St Joseph Health System
Up to 200% Free care Free care Free care Free care Free care
201-300% Sliding scale not to exceed Medicare 75% discount on charges Sliding scale not to exceed Medicare Discounted to Medicare +20% not to exceed 30% of household income Sliding scale not to exceed Medicare
301%-350% Average rate paid by largest insurance company 50% discount on charges Sliding scale, not to exceed insurance company rates and based on overall need Average insurance company rate
351%-400% 25% discount on charges
401%-500% N/A or case-by- case N/A or case-by- case
>501% Case-by-case discounts based on circumstances Case-by-case discounts based on circumstances
Source: http://www.nonprofithealthcare.org/resources/CA%20Hospital%20Systems- Charity%20Care%20Matrix.pdf
Catastrophic medical episode

The previous strategy uses FPL to demonstrate a patient’s inability to pay. This strategy demonstrates inability to pay, by showing that

3)

My family is another good example. I was one of four children. So, my dad had six dependents including my mom and the four kids. I am confdent that for most of our childhood, Dad’s adjusted gross income (AGI) would have fallen between 200% and 300% of poverty level. Dad made a good living, but Mom did not work and he had a modestly large family. If he had known the rules, he probably would have been eligible for a 25%-50% discount whenever we needed medical care.

Many hospitals and health providers employ a standard 10%- 100% discount scale that fuctuates relative to the patient’s income up to 400% of the FPL. Above is a table outlining the sliding scale discounts at the largest health systems in the state of California.s

HOW TO TAlK TO BIllERS PRODUCTIVElY // 55