Financial Assistance

Financial Assistance Application (English)
Instrucciones de Solicitud de Asistencia Financiera (Español)

RMH Financial Assistance Policies

Part of the mission of RMH is to provide high-quality health care at the best possible price. Patients are treated equally and respectfully, regardless of their ability to pay. RMH recognizes that healthcare expenses are frequently unexpected and is committed to helping patients whose lives are interrupted by illness or injury. The following information summarizes the types of financial assistance offered by RMH.

Prompt Payment Discounts

  • Two percent prompt payment discount for insured patients who pay their bills within 30 days of receiving their statements. This discount will be reflected on your first statement.
  • Twenty percent prompt payment discount for uninsured patients who pay their bills within 30 days of receiving their statements. This discount will be reflected on your first statement.

Payment Plans

  • Interest-free payment plans are available if patients cannot pay their balances in full in one payment.
  • Payment plans lasting more than 12 months may be referred to an external company to monitor the payments. This company is NOT a collection agency. Accounts that are monitored by this company will NOT be reported as delinquent to a credit bureau as long as the patient honors his or her payment plan commitment.

Federal, State or Local Assistance

  • Before any assistance is provided by RMH (see next section), patients must apply for and follow through with an application for federal, state or local assistance. These programs, such as Medicaid, exist to provide healthcare coverage to eligible patients.
  • Representatives of these agencies are based at RMH and may visit you while you are a patient or mail you a letter offering their free assistance. If you receive a letter, please call to find out if you are eligible for any of these programs.

RMH Financial Assistance Program

Patients who are not eligible for any of the federal, state or local programs may be eligible for the RMH Financial Assistance Program. Note: You must apply for and follow through with an application for any federal, state or local assistance to be eligible for RMH Financial Assistance.

The program assists both uninsured and under-insured patients. In order to qualify, patients:

  • Must have received medically necessary, urgent or emergent services;
  • Must meet income and asset guidelines;
  • Must have been screened for federal, state or local assistance;
  • Must not have refused insurance coverage through their employers;
  • Must complete a signed and witnessed financial assistance application and provide proof of income and assets.

Applications will be reviewed and patients who qualify will be awarded full or partial assistance with their hospital bills.

RMH financial assistance can only be used for RMH hospital bills; however, patients who receive assistance should let their other healthcare providers know in case those providers have similar programs.

Please contact the RMH Business Office at 540-564-5442 or 800-858-0383 for more information or to request an application for financial assistance.

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