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.
|| Annual income|
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)
Click here for a list of providers and clinics who honor our financial assistance policy.
470 NE A Street
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)