Financial Assistance Program
Get the help you need to pay for your care.
What is the Financial Assistance Program?
The Financial Assistance Program helps those who
are unable to pay for the cost of their care.
Who can apply?
All patients and responsible parties are eligible to apply
for the Financial Assistance Program. The Financial
Assistance Program provides discounts to families:
- Who are at or below 400% of the Federal Poverty
Guideline (FPG) or who have balances billed by St. Charles that total
more than their family’s annual income
- NOTE: All insurance opportunities must be exhausted
before a financial discount is applied
How do I get a financial assistance application?
The St. Charles Health System Financial Assistance Program application and policy are available free of charge by:
How do I submit my financial assistance application?
You can submit the St. Charles Health System Financial Assistance Program application by:
- Fax the completed application to this number: 541-706-6707
- Drop off completed application at any Financial Counseling location, listed below
- Mail the completed application to this address:
St. Charles Health System
Attn: Financial Assistance
PO Box 6095
Bend, OR 97708
General Income Guideline for 2017
Use chart below to estimate your eligibility. Keep in mind
the annual income in the chart below is 400% of the FPG.
|| Annual income|
NOTE: For families with more than 8 persons,
add $16,720 for each additional person.|
To speak with a St. Charles Medical Group Financial Counselor, call 541-706-4870.
To speak with a St. Charles Financial Counselor, call:
- Bend: 541-706-7756
- Redmond: 541-526-6506
- Prineville: 541-447-8346
- Madras: 541-460-4017
Financial counseling locations
St. Charles Bend (hospital)
2500 NE Neff Rd
St. Charles Business Services office
63047 NE Layton Ave
St. Charles Family Care Bend South
61250 SE Coombs Place
St. Charles Redmond (hospital)
1253 N Canal Blvd
St. Charles Center for Women’s Health
340 NW 5th Street, Suite 101
St. Charles Prineville (hospital)
384 SE Combs Flat Rd
St. Charles Madras (hospital)
470 NE A Street
Download Financial Assistance Application
Download Financial Assistance Policy