Table I: Family Income Ranges for Financial Assistance

For families or households with more than eight people, add $5,680 for each additional person.

Additional Information

CoxHealth may make a presumptive determination that a patient is eligible for financial assistance based on Medicaid eligibility.
Federal Poverty Level (FPL) is determined yearly by the U.S. Department of Health and Human Services.

Financial Assistance – Table II: Amount of Discount and Patient Responsibility

Financial Assistance - Table III: Catastrophic Assistance (Income up to 600% FPL)

Income Threshold: Household income falls below 600% FPL and not eligible under above criteria.

Medical Expense Threshold: Out-of-pocket medical expenses exceed 20% of gross annual household income.

Liquid Asset Threshold: Liquid assets must be $25,000 or less for an individual or $50,000 or less for a married couple. Applicants whose liquid assets exceed these limits may still qualify if they spend down their assets to the required level on documented medical expenses.

Liquid assets considered: CDs, Stocks, Bonds, Mutual funds, Trust funds, Money Market Accounts, Cryptocurrency, Checking and Savings Accounts.

Discount is applied to current amount owed and not an eligibility for future services.

Terminology

Copay - Nominal fee due from the patient before a discount is applied
Cost Share % - Percentage of balance remaining for which patient is responsible after copay is applied
Discount - Percentage of balance discounted (written off) after the copay is applied
NHSC Site - Clinic sites who participate in the National Health Service Corp program which supports funding for healthcare professionals in health professional shortage areas
Nominal Fee - Small fee due from patient in lieu of a copay and cost share %

Updated 03/26