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Billing and Insurance

Financial Assistance Program

Get the help you need to pay for your care.

What is the Financial Assistance Program?

The Financial Assistance Program helps those who are unable to pay for the cost of their care.

Who can apply?

All patients and responsible parties are eligible to apply for the Financial Assistance Program. The Financial Assistance Program provides discounts to families:

  • Who are at or below 400% of the Federal Poverty Guideline (FPG) or who have balances that total more than their family’s annual income
  • NOTE: All insurance opportunities must be exhausted before a financial discount is applied

General Income Guideline for 2016

Use chart below to estimate your eligibility. Keep in mind the annual income in the chart below is 400% of the FPG.

Family size Annual income
1 $47,520
2 $64,080
3 $80,640
4 $97,200
5 $113,760
6 $130,320
7 $146,920
8 $163,560
NOTE: For families with more than 8 persons, add $16,640 for each additional person.

How do I get a financial assistance application?

The St. Charles Health System Financial Assistance Program application and policy are available free of charge by:

  • Download the application here.
  • Pick up from one of the financial counseling locations listed below, or call to request that one be mailed

To speak with a St. Charles Medical Group Financial Counselor, call 541-706-4870.

To speak with a St. Charles hospital Financial Counselor, call:

  • Bend: 541-706-7756
  • Redmond: 541-526-6506
  • Prineville: 541-447-8346
  • Madras: 541-460-4017

Financial counseling locations


St. Charles Bend (hospital)
2500 NE Neff Rd

St. Charles Heart & Lung Center
2500 NE Neff Rd

St. Charles Business Services office
63047 NE Layton Ave

St. Charles Family Care Bend South
61279 S Hwy 97


St. Charles Redmond (hospital)
1253 N Canal Blvd

St. Charles Center for Women’s Health
340 NW 5th Street, Suite 101

St. Charles Family Care Redmond
211 NW Larch Ave


St. Charles Prineville (hospital)
384 SE Combs Flat Rd

St. Charles Family Care Prineville
384 SE Combs Flat Rd, Suite 1200


St. Charles Madras (hospital)
470 NE A Street

Click here for a list of providers and clinics who honor our financial assistance policy.

For more information, call (541) 706-7750 and press 2.

Download Financial Assistance Policy

Download Financial Assistance Application Form with Checklist and FAQ

Download Financial Assistance Application Frequently Asked Questions (FAQ)