If the patient is a Resident of: state of Ohio or the following counties: Boone, Campbell & Kenton (KY) or Dearborn (IN) and is a member of a Cincinnati Children's Contracted Health Plan, you are eligible for a discount on medically necessary services. It is automatically applied to your accounts and will reflect on your statement(s). You will not need to complete a Financial Assistance Application unless you are applying for 100% Charity Care.
Please note, if the patient is a member of a Cincinnati Children's Non-Contracted Health Plan, Marketplace/Exchange plan, or a PPO network, the discount will only apply to the out of pocket expenses from your deductible and co-insurance amounts.
Financial Assistance
Cincinnati Children's will work with eligible patients and families and may be able to offer financial assistance. Financial assistance in the forms of discounts and/or payment plans are available. Financial assistance is available for patients and families both with and without health insurance. Families with limited resources that reside in Ohio or in Boone, Kenton, Campbell, or Dearborn counties may qualify for a 100% discount. Patients and families who qualify for the 100% discount will need to complete and return our Application for Financial Assistance. Income verification will be required with the application.
Patients and families who do not qualify for the 100% discount (eg, reside outside of Ohio) or who choose not to complete the Application for Financial Assistance may still qualify for a discount. Cincinnati Children’s financial assistance program applies to qualifying services provided and billed by Cincinnati Children’s hospital, physicians, and providers.
Cincinnati Children’s financial assistance policy and a document summarizing the policy can be viewed from the links below:
Financial Assistance Policy Exclusions
Cincinnati Children’s financial assistance program applies to qualifying services provided and billed by Cincinnati Children’s hospital, physicians and providers. Generally, a patient/guarantor may receive a Hospital bill(s) and/or separate Professional (Physician) bill(s). This policy DOES NOT INCLUDE medical professionals that may provide services at Cincinnati Children's but are not billed by Cincinnati Children's. Providers (medical professionals) excluded from this policy can be reviewed here.
What if I do not have health insurance?
Billing Customer Service representatives can help. All families who live in Ohio and our primary service area are eligible for discounts and payment plans. Our primary service area includes all Ohio, Boone, Kenton, Campbell and Dearborn counties. To receive discounts and payment plans, or to apply for other financial aid programs, you will need to fill out an application for Financial Assistance. Please see links below to view and print financial applications.
For more information, contact our financial counselors at 513-636-4427 or email PFC@cchmc.org.
Is there help if my health insurance does not cover my bills?
Family financial advocates assist families that have health insurance but who need additional financial resources to cover medical bills for their chronically ill child. We identify and help families apply for programs including Medicaid, Social Security, waivers, developmental disabilities services, Bureau for Children with Medical Handicaps (BCMH), and other financial assistance and family support resources. Our family financial advocates can also help you resolve billing issues.
For more information, contact our Family Financial Advocates at 513-803-6500 or email FFA@cchmc.org.
Annual 2019 Federal Poverty Income Guidelines
Qualification for many assistance programs requires applicants to meet federal poverty income guidelines based on their Federal Poverty Level (FPL).
|
|
Income by Year
|
|
Persons in
family/household
|
100% FPL
|
200% FPL
|
|
1
|
$12,490
|
$24,980
|
|
2
|
$16,910
|
$33,820
|
|
3
|
$21,330
|
$42,660
|
|
4
|
$25,750
|
$51,500
|
|
5
|
$30,170
|
$60,340
|
|
6
|
$34,590
|
$69,180
|
|
7
|
$39,010
|
$78,020
|
|
8
|
$43,430
|
$86,860
|
|
9
|
$47,850
|
$95,700
|
|
10
|
$52,270
|
$104,540
|
|
For households with more than 10 persons, add $4420 for each additional person.
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