Financial Assistance

Financial Assistance Program

Información sobre el Programa de Ayuda Financiera y la Solicitud están disponibles en español.

What is the Financial Assistance Program?

The Financial Assistance Program helps patients who are unable to pay for their medical care. At Lake Health District Hospital, we understand that healthcare is essential—and often costly.

Who Can Apply?

All patients and responsible parties are eligible to apply. Discounts are available to families who:

  • Have household incomes at or below 400% of the Federal Poverty Guidelines (FPG), or
  • Have medical bills from Lake Health District Hospital that exceed their annual household income.

Note: No eligible individual will be charged more for emergency or medically necessary care than the amount generally billed to insured patients.

How to Get and Submit a Financial Assistance Application

The Financial Assistance Program application and policy are available free of charge. You can:

  • Download and print the application here
  • Email your completed application to ptsvcs@LakeHealthDistrict.org
  • Pick up or drop off an application at the admitting reception desk or with a Financial Counseling Advocate
  • Call 541-947-2114 Ext. 435 or 5130 to request a mailed copy
  • Fax your completed application to 541-947-8144
  • Mail your completed application to:
    Lake Health District Hospital
    Attn: Financial Assistance
    700 South J Street
    Lakeview, OR 97630

Presumptive Financial Assistance Screening

Under Oregon law (ORS 442.615), Lake Health District Hospital must screen patients for financial assistance before sending a bill. If a patient is found eligible, that determination remains valid for nine months and applies to all medically necessary services during that time.

Key Points:

  • If no prior eligibility is found, we will automatically screen you using existing information.
  • You may voluntarily provide household size or income to assist with screening.
  • Based on the results, you may be offered presumptive eligibility or invited to apply formally for Financial Assistance.
  • Once approved, the same discount applies to all services for 9 months—even if your income changes. REVIEW for Presumptive vs. Financial Assistance Application submission.
  • If you were approved in the past 9 months, you do not need to reapply.

Note: Patients cannot opt out of this screening. However, you may decline financial assistance if approved.

Legal and Insurance Requirements

As a condition of receiving financial assistance, patients may be required to:

  • Respond to requests from their primary insurer
  • Provide information about third-party liability, including:
    • Coordination of benefits between insurers
    • Accident reports
    • Workers’ compensation claims or benefits

 

These requirements are established by the Oregon Health Authority. Lake Health District Hospital is committed to following the law and providing free or discounted care to qualifying patients.
Read more about HB 3320

Contact a Financial Counselor

Location:
Lake Health District Hospital
700 South J Street
Lakeview, OR 97630

Hours: Monday–Friday, 7:30 AM – 4:00 PM
Phone: 541-947-2114 Ext. 435 or 5130

Recursos en Español

  • Descargar la Política de Asistencia Financiera
  • Descargar la Solicitud de Asistencia Financiera
  • Crédito y Cobranzas
  • Resumen del Programa de Asistencia Financiera en lenguaje sencillo

 

Private Pay Services Policy English
Private Pay Services Policy- Spanish Política de servicios de pago privado [Sp]
Patient Billing and Collection Policy Patient Billing and Collection Policy [Eng] 
Patient Billing and Collection Policy- Spanish Pagos del paciente y las políticas de cobro [Sp]
Financial Assistance Policy and Chart Financial Assistance Policy [Eng]
Financial Assistance Chart [Eng/Sp]    
Financial Assistance Policy- Spanish Política de ayuda financier [Sp]
Plain Language Summary of Hospital Financial Assistance Policy Plain Language Summary of Hospital Financial Assistance Policy (FAP) [Eng]
Plain Language Summary of Hospital Financial Assistance Policy- Spanish Resumen simplificado de la Política de ayuda financiera del hospital (Sp)
FAP Providers FAP Providers [Eng]
FAP Providers- Spanish Proveedores de la política de ayuda financiera del LDH [Sp]
Financial Assistance Application Financial Assistance Application [Eng]
Financial Assistance Application- Spanish DIRECTRICES DE ASISTENCIA FINANCIERA- Spanish [Sp]

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