Financial Assistance

Asistencia financier  |   Phaisa Bawmhnak

Franciscan Alliance is proud of our mission to provide compassionate care to our community, regardless of the patient’s ability to pay. Every uninsured patient receives a self-pay discount from our normal charges that is based on the average discount we give our insurance carriers, including Medicare. Please call the customer service number listed below if you would like to request the discount percentage for your facility. We offer financial assistance for medically necessary care to both insured and uninsured patients that are not able to pay their insurance balance. The amount of assistance is based on your annual income and/or your amount of medical debt. You will need to provide proof of income, or current means of support, and any medical debt. The financial assistance adjustment can be from 20% to 100% of your patient balance. There is a short application that we need to have you complete. We encourage you to let us know if you have any difficulty paying your bill since federal and state law require all health care facilities to seek payment for what they bill patients. This means that we may send bills without a designated payment plan to a collection agency. We would certainly prefer to work with you to develop a payment plan or appropriate discount based on your financial situation.

You may request financial assistance by calling customer service at: 1-866-903-0436

You may access our financial assistance policy and application at the links below. Or you may stop by any Patient Access Department at our Hospital or Clinic facilities to request a financial assistance application. Our financial counselors are available if you need assistance in completing the application. We offer the financial assistance application in English, Spanish, and Burmese/Hakha. If you need other translation services our financial counselors can arrange this assistance.

Discount policy for uninsured patients and charity care

Política sobre descuentos para pacientes no asegurados y atención caritativa

Velsamh Hramhnak le Insurance Ngeilo Mizaw Discount Policy

To determine eligibility for Financial Assistance, print, complete and return the Application for Financial Assistance with the required documents as soon as possible to the following:

  • Franciscan Alliance, Inc
    2434 Interstate Plaza Drive, Suite 2
    Hammond, IN 46324
  • Or return to any patient access/registration area at the hospital or clinic location

Application for Financial Assistance

Marca acqui para la ayuda financiera

Phaisa lei Bawmhnak Soknak

Once the completed application and supporting documents are received, the application will be reviewed and the requestor will be notified if additional information is required. Otherwise, the requestor will receive a written notification of either an approval for financial assistance, or a denial and the reason the request is denied, normally within 30 business days or our receipt of all required documents.

Patients or persons responsible for paying the patient bills may call 1-866-903-0436 with any questions on this process or on submitted applications.

Hours are Monday – Friday 8 am – 6:30 pm ET / 7 am – 5:30 pm CST.

Please see link listing our Medical Staff. Physicians with this sign Tau Symbol (Tau) participate in our charity program.