Financial Assistance is provided to a patient who is uninsured and / or underinsured with a demonstrated inability to pay. A patient is eligible for financial assistance consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guidelines. Requirements will be reasonable and assistance will be provided to patients when applying.
Financial Assistance may include unpaid coinsurance, deductibles and non-covered, medically necessary services if the patient meets the Financial Assistance eligibility criteria.
The Financial Assistance Program is available to all ambulance patients. The Program applies only to medically necessary services that are provided and billed by the EMS service. The Community Care program does not cover services that are provided by EMS services not administered by Logical Billing Solutions, Inc.
The program is intended to identify the uninsured and underinsured individuals who cannot afford to pay in full for their services. Individuals who have exhausted their health insurance benefits and individuals with significant catastrophic circumstances also qualify. Financial Assistance will be available through discounted charges, sliding fee discounts and payment arrangements.
The applicants’ household income and number of persons in the household will be compared to the Federal Poverty Guidelines to determine eligibility for a Community Care discount. The following table will be used to determine an applicant’s eligibility and discounted fee: Click here for the latest poverty guideline table.
Consideration for additional discounts will be made based on any special circumstances explained in the Financial Assistance application.
Additional Documents may be requested at the discretion of the transporting agency. Logical Billing Solutions has no control over these and only acts as a liaison between the ambulance and patient.