Presence Health

Financial Assistance Application

If you would like to apply for help with your hospital bills, download our Financial Assistance Application by clicking on your preferred language below, fill out this application, and return it.

Financial Assistance Policy

This policy contains all of the terms and conditions for receiving financial assistance with your hospital bills, download by clicking on your preferred language below.

Billing & Collections Policy

This policy explains how Presence Health is allowed to collect the portion of bills that patients are responsible for. Download by clicking on your preferred language below.

Plain Language Summary

Download our plain language summary of the Financial Assistance Policy by clicking on your preferred language below.

Provider List

For a list of Presence Health providers and physicians who apply the Financial Assistance Policy to their patient bills, download by clicking on your preferred language below.

Amounts Generally Billed

This document explains our methodology for making sure that uninsured patients are not charged more than the Amount Generally Billed (AGB) for insured patients.