At Bethesda North Hospital and Good Samaritan Hospital, we understand that dealing with unexpected medical bills can be difficult. If you are unable to pay all or part of your hospital bill, we can help determine if you are eligible for federal, state and hospital programs, as well as direct you to resources that may help you pay your hospital bill.
You need to do two things to determine if you specifically qualify for TriHealth’s financial assistance program:
- Call a financial counselor at the appropriate number listed to the right.
- Complete this form. You must complete and return this form to qualify for free care or discounts.
Who qualifies for financial assistance?
TriHealth uses the following guidelines to determine who qualifies for financial assistance.
First, find your family size, and then plot your family's income level. Once you've identified your family size and income level, refer to the bold numbers at the top of the chart to see how much of a discount you may qualify for. For instance, a family of three with an income greater than $34,341 and less than $51,510 would qualify for a 60 percent discount.
| Discount |
100% |
|
80% |
|
|
60% |
|
|
45% |
|
| |
Less than |
|
Greater than |
But less than |
|
Greater than |
But less than |
|
Greater than |
But less than |
| Family Size |
|
|
|
|
|
|
|
|
|
|
| 1 |
10,400 |
|
$10,401 |
$20,800 |
|
$20,801 |
$31,200 |
|
$31,201 |
$41,600 |
| 2 |
14,000 |
|
$14,001 |
$28,000 |
|
$28,001 |
$42,000 |
|
$42,001 |
$56,000 |
| 3 |
17,600 |
|
$17,601 |
$35,200 |
|
$35,201 |
$52,800 |
|
$52,801 |
$70,400 |
| 4 |
21,200 |
|
$21,201 |
$42,400 |
|
$42,401 |
$63,600 |
|
$63,601 |
$84,800 |
| 5 |
24,800 |
|
$24,801 |
$49,600 |
|
$49,601 |
$74,400 |
|
$74,401 |
$99,200 |
| 6 |
28,400 |
|
$28,401 |
$56,800 |
|
$56,801 |
$85,200 |
|
$85,201 |
$113,600 |
| 7 |
32,000 |
|
$32,001 |
$64,000 |
|
$64,001 |
$96,000 |
|
$96,001 |
$128,000 |
Get hospital pricing
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Frequently asked questions
How can I pay this bill?
There are several convenient ways to pay your bills:
- You can pay cash at our cashier’s offices.
-
You also can pay with credit cards or checks when calling, paying online or mailing in your payment.
- You can choose a payment plan, which is based on your account balance, or you may qualify for financial assistance. Download financial assistance application >
Why isn’t my payment showing up on my statement?
Occasionally, payments may pass in the mail while the statements are being sent out. The issue could also be a different date of service. Please check to make sure the account number and statement match. If you have made a payment, then you can disregard the bill.
Do you offer financial assistance?
Yes, TriHealth does offer financial assistance. The first step is to fill out the financial assistance application. Get application now >
All Ohio Hospitals are required to provide medically necessary care, without charge, to eligible persons. This program is referred to as the HCAP (Health Care Assistance Program). To be eligible, you must:
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Be a resident of Ohio;
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Not be currently receiving Medicaid benefits; and
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Be a person or from a family whose income is at or below the Federal Income Poverty Guidelines.
Even if you are not eligible for free care through HCAP, you may still be eligible for a discount through the TriHealth Financial Assistance Program. You may qualify for this program if your income is at or below 400% of the Federal Poverty Guidelines even if you are not a resident of Ohio. See chart >
Do I have to be an Ohio resident for the HCAP (Health Care Assistance program)?
Yes. You do need to be an Ohio resident, but we also offer charitable discounts based on the information from the application. It is most helpful to fill out the financial assistance application as soon as possible.
What is the status of my Financial Assistance Application?
Each application is personally reviewed, and this process can take up to three weeks. However, you are welcome to call us, 513-569-6117, or e-mail to check the status of your application.
Why am I being charged for a private room when I didn’t request one?
If you were in a private room and did not request one, the notation may have been missed on your chart. Please contact Customer Service at 513-569-6117 and we will adjust the charges accordingly.
Why are my different dates of service attached to different account numbers?
You are registered each time you visit one of our facilities, and you are given a new account number each time you are registered. This process helps ensure the accuracy of your statement and insurance billing, and increases efficiency in our accounting.
Why don’t you have my insurance (or correct) information?
Insurance information is not carried from one account to another. However, as we strive for accuracy, we encourage you to call, 513-569-6117, or e-mail us with your correct information.
Why am I receiving a bill when I was never at a TriHealth facility?
Physicians send lab specimens to TriHealth labs, which would necessitate a charge. The charge could also be from one of our outpatient centers. You may call a customer service representative at 513-569-6117 for help determining your charges.
Why am I being charged a nursery charge when the baby stayed in the room with me?
Nursery charges cover the nursing staff, supplies needed for the baby, and the actual bed. The process of separating these charges helps to identify the care given to both mother and baby.
Why do I have to set up a payment plan?
By setting up a payment plan, you keep your account current and avoid being transferred to a collection agency. Please note that sending a partial payment doesn’t automatically set you up on a payment plan. We request a formal agreement between the patient and TriHealth. You may speak with a customer service representative about setting up a payment plan by calling 513-569-6117.
Why do I have to make a minimum of $25.00 payment?
To be cost effective, there is set a minimum to keep your account current. Interest is not charged on accounts at this time.
When does my account get sent to a collection agency?
TriHealth’s Patient Accounting Department sends three statements to each patient. A representative will attempt to set up a payment plan by calling after the second statement is sent. If you cannot be reached, or we do not hear from you, then your account may be referred to a collection agency.
Were my television and telephone charged to my insurance?
Television and telephone charges are not covered by insurance providers. They will be added to your home telephone bill by UTC, the company that handles telephone and television services at our facilities.
Helpful resources
Online Bill Pay
TriHealth makes paying bills easier than ever by offering an online payment option. You can make a secure payment when it is most convenient for you. With this tool, you can see an archive of your payment activity up to six months and opt to have your bills emailed to you. Pay a bill now >
Community Links
These agencies can offer additional information on both quality and hospital pricing.
Greater Cincinnati Health Council
Joint Commission on Accreditation of Health Care Organizations (JCAHO)
Ohio Hospital Association
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