Financial Assistance Resources

Parkview Health is a not-for-profit, community-owned organization, providing financial assistance to individuals with limited or no ability to pay for services and who meet assistance guidelines.

Plain Language Summary

The Plain Language Summary helps explain Parkview Health’s Financial Assistance Policy. It summarizes eligibility requirements for assistance and provides contact information so that you can obtain further information regarding the Policy or applying for financial assistance. This plain language summary is available in Spanish and Burmese below.

Plain Language Summary - English

Plain Language Summary - Spanish

Plain Language Summary - Burmese

Do I qualify?

Patients whose family income does not exceed twice the Federal Poverty Guidelines may be eligible for financial assistance. Certain family assets are considered in making the determination for eligibility under the Financial Assistance Policy. Patients must complete a Financial Assistance Application in order to be considered under Parkview’s Financial Assistance program. Patients must apply for Financial Assistance within 240 days of the date a patient is sent the first statement due for that date of service.

How do I obtain more information?

The Financial Assistance Policy and the Financial Assistance Application (both below) provide more detailed information regarding eligibility and the application process.  You may download the forms here:

[Financial Assistance Policy]

Financial Assistance Policy - Spanish

Financial Assistance Policy - Burmese

[Financial Assistance Application]

Financial Assistance Application - Spanish

Financial Assistance Application - Burmese

You may also send a written request to:

Attention: ARS Team Patient Financial Services
Parkview Health
P.O. Box 5600
Fort Wayne, IN 46895

The Financial Assistance Policy and the Financial Assistance Application are also available by calling the Patient Financial Services Call Center at 260-266-6700 or toll free 855-814-0012, or by visiting any cashier office between the hours of 9 am and 4 pm at the following locations:

Additional Resources

Federal Poverty Guidelines

Charges from certain physicians on Parkview Health facilities’ medical staff are eligible for consideration under Parkview’s financial assistance policy. Please see this document for information regarding physicians as of 10/1/2020.
 

Parkview Health’s Collections policy may be downloaded below.

[Collections Policy]

Collections Policy - Spanish

Collections Policy - Burmese
 

Information for Average Generally Billed at Parkview Health facilities may be downloaded below.

Average Generally Billed