Individual payment plans
Payment plans for partial financial assistance accounts will be individually developed with the individual patient. All collection activities will be conducted in conformance with the federal and state laws governing debt collection practices. No interest will accrue to account balances while payments are being made unless the individual has voluntarily chosen to participate in a long term payment arrangement that bears interest applied by a third-party financing agent.
All payment plans will follow the CommonSpirit Health Mountain Region payment plan guidelines.
Account balance plan duration
- $500 No more than 12 months
- $500 - $1499 No more than 18 months
- $1500 - $4999 No more than 24 months
- $5000 No more than 36 months
All payment plans should be at least $25 per month. If the patient requests payments less than $25 or a longer payment plan than outlined above, the proposed payment plan must be approved by one of the following:
- Facility Patient Access Director
- Facility CFO or Controller
If an individual complies with the terms of his or her individually developed payment plan, no collection action will be taken.
- CommonSpirit Health Mountain Region Financial Assistance Plain Language Summary - Colorado
- Hospital Discounted Care Patient Rights – Colorado
- CommonSpirit Health Mountain Region Financial Assistance Plain Language Summary - Kansas
- Financial Assistance Plain Language Summary - Utah
- CommonSpirit Health Mountain Region Financial Assistance Policy
- Financial Assistance Required Documentation
- Uniform Application
Spanish versions
- CommonSpirit Health Mountain Region Asistencia Financiera Resumen en Lenguaje Sencillo - Colorado
- Derechos del paciente de atención hospitalaria con descuento - Colorado
- CommonSpirit Health Mountain Region Asistencia Financiera Resumen en Lenguaje Sencillo - Kansas
- Asistencia Financiera Resumen en Lenguaje - Utah
- Política de ayuda financiera de CommonSpirit Health Mountain Region
- Documentos necesarios para la ayuda financiera
Colorado Facilities Covered Providers
Patients with Insurance - Federal Poverty Level | Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life | Outpatient Recurring Care | CommonSpirit Health Mountain Region Provider Fees |
---|---|---|---|
0-250% | $650 copay per visit | $50 copay per visit | 15% of charges |
251-299% | 10% of charges | 10% of charges | 25% of charges |
300-399% | 20% of charges | 20% of charges | 35% of charges |
*Insured patient's copayments cannot be lower than the 0-250% copay amounts.
Colorado Facilities Covered Providers
Uninsured - Federal Poverty Level | Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life |
Outpatient Recurring Care | CommonSpirt Provider Fees |
---|---|---|---|
0-250% | $0 copay per visit | $0 copay per visit | 0% copay per visit |
251-299% | 10% of charges | 10% of charges | 25% of charges |
300-399% | 20% of charges | 20% of charges | 35% of charges |
*Uninsured patient's copayments cannot be lower than the 0-250% insured copay amounts.
Utah Facilities Covered Providers
Patients with Insurance - Federal Poverty Level | Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life | Outpatient Recurring Care | Holy Cross Hospitals Provider Fees |
---|---|---|---|
0-250% | $650 copay per visit | $50 copay per visit | 15% of charges |
251-299% | 10% of charges | 10% of charges | 25% of charges |
300-399% | 20% of charges | 20% of charges | 35% of charges |
*Patient's copayments cannot be lower than the 0-250% insured copay amounts.
Kansas Facilities Covered Providers
Federal Poverty Level | Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life | Outpatient Recurring Care | CommonSpirit Health Mountain Region Provider Fees |
---|---|---|---|
0-150% | $650 copay per visit | $50 copay per visit | 15% of charges |
151-200% | 10% of charges | 10% of charges | 25% of charges |
201-250% | 20% of charges | 20% of charges | 35% of charges |
*Patient's copayments cannot be lower than the 0-150% copay amounts.