It is the policy of Spooner Health (SH) to treat the broadest number of patients residing within our service area while maintaining fiscal responsibility. This is a summary of the SH Financial Assistance Policy (FAP).
Patient will be considered for charity or discounted billing based on their ability to pay and the Federal Poverty Level Guidelines (FPG) issued and updated annually. Charity consideration is given to emergency, inpatient, outpatient and medically necessary procedures. Financial assistance and discounts only apply to SHS bills.
Any balance can be considered for charity, including balances after insurance payment. Patients must reside within the State of Wisconsin.
Financial assistance is generally determined by a sliding scale of total household income based on FPG. With respect to uninsured individuals, the following table applies:
|Total Household Income||Discount from Gross Charges|
|Less than 100% of FPL||100% discount|
|Between 101% and 150% of FPL||90% discount|
|Between 151% and 200% of FPL||75% discount|
|Between 201% and 250% of FPL||50% discount|
|Between 251% and 300% of FPL||41% discount|
No person eligible for financial assistance under the FAP will be charged more for medically necessary care than amounts generally billed (AGB) to individuals who have insurance covering such care. SH determines AGB based on all claims paid in full to SH by Medicare and private health insurers (including payments by Medicare beneficiaries or insured individuals themselves), over a 12-month period, divided by the associated gross charges for those claims. If an individual has sufficient insurance coverage or assets available to pay for care, he/she may be deemed ineligible for financial assistance. Please refer to full policy for a complete explanation and details.
There are numerous ways that an individual may obtain information about the FAP application process, or obtain copies of the FAP or FAP Application Form:
Download the information online at www.spoonerhealth.com
Request the information by telephone by calling the Spooner Health Patient Accounts Financial
Counselor at 715-939-1609
In person at Spooner Health, 1280 Chandler Drive Spooner, WI 54801
The FAP, FAP Application Form, and this plain language summary shall be prepared in English and for any population more than either (a) 1,000 individuals or (b) 5% of the community served by the hospital.
The application process involves filling out the Financial Assistance form and mailing the form along with the supporting documentation to SH for processing. You may also apply in person by visiting the Patient Accounts Department at the address listed below. Financial Assistance applications are to be submitted to the following office:
Attn: Patient Financial Counselor 1280 Chandler Drive Spooner, WI 54801-2202
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