Our goal is to make sure you and your loved ones get the care you need while providing support to help with the cost.
Rogers’ Financial Assistance Program helps people who are unable to pay for medically necessary services provided at any Rogers location and apply to both facility and professional charges. If you qualify, Rogers may reduce your bills, either partially or completely. To receive financial assistance, there are two important things to keep in mind:
- You will need to work with Rogers to explore other possible payment options or financial aid programs.
- We ask that you contribute to the cost of your or your family member’s care based on what you are able to pay
Eligibility for Our Financial Help Program
To be eligible for financial assistance, the following criteria apply:
- The patient must be a current Rogers patient and must have lived in the United States for at least one year.
- The care provided is not covered by an insurance plan or is covered under a plan with high patient responsibility.
- You have not opted out of using insurance to pay for services and have followed all insurance requirements.
- Household income is 100% – 300% of the Federal Poverty Guidelines
If you qualify, financial assistance is calculated based on a percentage of your eligible charges according to the following schedule: Financial assistance for qualified individuals and families will be calculated as a percentage of total eligible charges according to the following schedule:
| Household Size | Annual Household Income | ||
|---|---|---|---|
| 1 | $0 – $31,300 | $31,301 – $39,125 | $39,126 – $46,950 |
| 2 | $0 – $42,300 | $42,301 – $52,875 | $52,876 – $63,450 |
| 3 | $0 – $53,300 | $53,301 – $66,625 | $66,626 – $79,950 |
| 4 | $0 – $64,300 | $64,301 – $80,375 | $80,376 – $96,450 |
| 5 | $0 – $75,300 | $75,301 – $94,125 | $94,126 – $112,950 |
| 6 | $0 – $86,300 | $86,301 – $107,875 | $107,876 – $129,450 |
| 7 | $0 – $97,300 | $97,301 – $121,625 | $121,626 – $145,950 |
| 8 | $0 – $108,300 | $108,301 – $135,375 | $135,376 – $162,450 |
| Discount on balance | 100% | 50% | 25% |
Families with more than 8 persons or in Alaska or Hawaii, contact Patient Financial Services
If you qualify for financial assistance, you will not be charged more than what individuals with insurance would typically pay for the same care. If there are any remaining balances that are not paid, Rogers may need to take further steps to collect the amount due, which could include referring the balance to a collection agency. However, we are committed to working with you to find a solution and ensure you receive the care you need.
Limitations
Rogers’ financial assistance program helps with many costs related to behavioral health services, but it does not cover everything. Some expenses, such as transportation, lodging, prescriptions, food, medical equipment, lab services, and pharmacy supplies, are not included.
For residential, inpatient, partial hospitalization, and intensive outpatient services, applications can be submitted any time after admission, but they will only be processed once you are discharged, all insurance or other payment claims are completed, and there is a remaining balance. To apply for financial assistance, applications must be submitted within 240 days of receiving your first bill. You may need to submit a new application if you are admitted again or after 240 days. This program is designed to help forgive balances and does not apply to past payments you have already made.
For routine outpatient services, applications can be submitted up to 12 months after your approval, but they will need to be resubmitted each year. If you are uninsured and eligible for Medicaid, you must apply for Medicaid unless you are exempt from social security and Medicare taxes, as documented on IRS Form 4029 or other official paperwork.
Method of applying for financial assistance
If you would like to apply for financial assistance or have been identified as potentially eligible, please contact Patient Financial Services at 833-608-2410 to start the application process. In most cases, we will utilize our financial assistance screening tool to electronically evaluate eligibility.
If the eligibility tool does not report any findings or you disagree with the findings, you can complete a financial assistance application at no cost by contacting Patient Financial Services at 833-608-2410, visiting one of our Rogers locations, or by downloading and printing the application from our website. To apply, you will need to complete and return the financial assistance application along with a few important documents, including:
- Proof of household income (such as pay stubs from the last 90 days)
- A copy of the last three months’ bank statements from all accounts in your household
- A copy of your last two tax returns (including all schedules) or an IRS Verification of Non-filing Letter
- Details of any personal injury or accident-related claims, if applicable
- Proof of any loss of income, if relevant
Once your application is submitted, a Patient Financial Services representative will review it. We will consider your application complete once we have received the form, all necessary documents, and any additional information we may request. You can review Rogers’ full financial assistance policy here
Limitations to Financial Assistance at Rogers Behavioral Health
Rogers’s financial assistance program does not include all costs that may be associated with behavioral health services.
Items or services that are not included in our financial assistance program include, but are not limited to:
- Transportation
- Lodging
- Prescriptions
- Food
- Medical equipment
- Laboratory services
- Pharmacy supplies
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