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Financial assistance

Our mission

The mission of Iredell Health System is to support our community's journey toward optimal health, to provide an excellent experience for our patients and their families, and to deliver high quality, affordable health services.

Community commitment

For over 60 years, Iredell Health System, the only nonprofit hospital in Iredell County, has been proud to offer the highest quality healthcare to everyone regardless of their economic means. Iredell Health System carefully considers each patient's ability to pay for their medical care. We are committed to treating patients who have financial needs with the same dignity and consideration that is extended to all of our patients.

Iredell Health System offers a generous Financial Assistance Program for patients. The program offers discounted charges to those who are uninsured, underinsured, or simply cannot otherwise pay for all of their medical care.

The Financial Assistance Program supports medically necessary services to qualified patients on a "first-come, first-served" basis until the annual budget has been reached. Iredell Health System's annual budget for free and discounted services is $13.1 million.

Eligibility*

Eligible patients who reside in a family or household where their net worth is less than $75,000 and their household or family income is within the ranges detailed below:
Family Size 100% 80% 60% 35%
1 $31,598 $36,022 $40,445 $44,869
2 $38,775 $48,469 $58,163 $67,856
3 $43,943 $54,929 $65,915 $76,900
4 $47,336 $59,170 $71,004 $82,838
5 $55,416 $69,270 $83,124 $96,978
6 $63,496 $79,370 $95,244 $111,118

For family units with more than six members, the annual incomes above will be increased based upon federal guidelines.


Applying

If you think you may be eligible for this program, we encourage you to contact the Business Office at 704.878.4600. An application and financial information will be required to determine eligibility. You will be notified within one business day of the receipt of your completed application for medical services not yet provided, and within two weeks for medical services previously provided.

Any financial assistance provided under this program is conditional upon your applying for any government assistance for which you may qualify (e.g. Medicaid, Vocational Rehabilitation, etc). If you need help completing an application for the above programs, we are more than happy to help.

Patients who do not provide the requested information necessary to completely and accurately assess their financial situation and/or who do not cooperate with efforts to secure governmental healthcare coverage will not be eligible for Iredell Health System's Financial Assistance.


Communication

If you are having trouble paying for all or some of your healthcare, we encourage you to talk with a financial counselor or someone in our business office about how we may be able to help you. Communication between the patient and the financial counselor is important. If you don't apply for discounts through the Financial Assistance Program, you won't know if you qualify.


No Communication

If patients are unwilling to provide information for financial assistance or set up payment plans as appropriate, we cannot help. In these instances and when patients don't continue with their payment plan as agreed upon, the Hospital may ultimately be forced to turn unpaid bills over to a collection agency or take legal action. Having your bill turned over to a collection agency and/or a legal action will affect your credit status.

*Please understand that physician fees, such as an anesthesiologist, emergency medicine, hospitalist, pathologist, radiologist, surgeon, etc., are separate from hospital charges and may not be eligible for discounts.

To Apply

You will need to provide the following information for all members of your household.

The program requires that the applicant apply for Medicaid; please provide a copy of your decision letter; along with all of the following applicable items with your Financial Assistance application.

  1. W-2 Withholding or 1099 forms for the prior year and or a copy of the last year to date pay stub.
  2. Most recent check stub for the current year
  3. Statement of Social Security and /or retirement/pension of monthly benefits or bank statement showing deposit for the prior and current year.
  4. Statement of unemployment income with date benefits started and weekly amount
  5. Income Tax Returns — most recent year filed
  6. Bank — Detail checking account statement — most recent
  7. Bank — Detail savings account statement — most recent
  8. If no income, please include a letter of support, signed and dated, from the person who is providing your daily living expenses.
  9. If self-employed, please provide a statement of earnings for the prior year and the current year minus expenses, plus an inventory and value of equipment used for your business.

If you are seeking financial assistance for services not yet rendered, you will also need to provide the type of service, expected date of service, and the ordering physician/facility.

Attention: Please keep in mind that failure to provide this information may delay or prevent your application from being approved.

Download a PDF version of this information. The PDF includes the above information and the application. The link opens in a new browser window.