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Financial Assistance

Patient Financial Assistance

The purpose of the Patient Financial Assistance program at West Tennessee Healthcare is to support the Mission statement of WTH by providing financial assistance for non-elective services to patients that meet approved eligibility criteria. Financial assistance is provided to eligible patients in the form of limiting out-of-pocket expenses for medically necessary services received at WTH facilities. The Patient Financial Assistance Program is a charity program and is not a comprehensive medical benefit plan. Patient Financial Assistance cannot be pre-approved, and approval at one WTH facility or affiliate may not necessarily guarantee approval for all WTH facilities or affiliates. Approved discounts under the WTH Patient Financial Assistance program will not apply to services that have not been deemed medically necessary by your referring provider and you may have out-of-pocket expenses for co-pays for clinic visits or services and items that are not covered under the program.

If you are uninsured, you will receive a discount on your bill. Please see the [Self Pay] page for more information on the Uninsured Discount.

If you are insured or uninsured, you may be eligible to receive treatment without cost to you if your annual gross household income is less than 200% of the federal government’s poverty income guidelines. Additionally, other sliding scale charity discounts are available to uninsured patients only if the annual gross household income is from 200% to 400% of the federal government’s poverty income guidelines. The current year’s Federal Poverty Guidelines can be found at www.hhs.gov .

We have provided a list of frequently asked questions regarding the Patient Financial Assistance program available by clicking this link:

For a brief summary of our financial assistance program click on one of the links below:

The full Patient Financial Assistance policy is available by clicking this link:

To apply for consideration for the Patient Financial Assistance program, a completed application and proof of household income is required to be submitted.  As applications are processed various locations of Patient Access, please ask your Registration staff where to apply.

The Patient Financial Assistance Program Application is available for download by clicking this link:

Additionally, you can pick up an application at any of the West Tennessee Healthcare affiliate hospitals in the Admitting and Registration areas, at the West Tennessee Healthcare Hospital Billing Department at 257 Bancorp South Pkwy, Jackson, TN 38305, or at the West Tennessee Healthcare entity where you are receiving treatment. The application can also be obtained by calling the Patient Financial Services’ Customer Service line, toll free, at 800-233-2108 Monday through Friday, 7:30 a.m.-5:00 p.m., and request an application by fax or mail.

For any questions related to the Patient Financial Assistance program, please call toll free 731-541-7000.