John Muir Health funds a patient assistance program that may cover all or part of your hospital bills. Your eligibility is based partly on your household income and your assets. To qualify, you must meet one of the following sets of criteria:
A. You must have no insurance or other third party that will pay all or part of your hospital bill. You also must have a family income of no more than 400% of the Federal Poverty Guidelines.
or
B. You have some form of third-party insurance coverage, but you do not receive a discounted rate from John Muir Health because of that coverage. Also, your annual out-of-pocket costs for medical expenses must exceed 10% of the lesser of the annualized value of the patient’s current family income or the family’s actual income over the prior 12 months and you must have a family income of no more than 400% of the Federal Poverty Guidelines.
To qualify, you will need to complete the Patient Financial Assistance Application Form and submit the required documents, including:
We may request additional documentation, depending on your circumstances. If you have questions, please call our Patient Financial Assistance team at (925) 947-3336, Monday - Friday, between 8:30 AM – 4:30 PM.
If you believe your application was not properly considered, you may send us a written request for reconsideration. Please send it to:
Director of Single Business Office
John Muir Health
5003 Commercial Circle
Concord, CA 94520
| Patient Financial Assistance Brochure |
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| Patient Financial Assistance Application | |
| Patient Financial Assistance Plain Language Summary | |
| Patient Financial Assistance Plan Policy |