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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 billed by St. Charles that total more than their family’s annual income
  • NOTE: All insurance opportunities must be exhausted before a financial discount is applied

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:

How do I submit my financial assistance application?

You can submit the St. Charles Health System Financial Assistance Program application by:

  • Fax the completed application to this number: 541-706-6707
  • Drop off completed application at any Financial Counseling location, listed below
  • Mail the completed application to this address:

    St. Charles Health System
    Attn: Financial Assistance
    PO Box 6095
    Bend, OR 97708

General Income Guideline for 2017

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 $48,240
2 $64,960
3 $81,680
4 $98,400
5 $115,120
6 $131,840
7 $148,560
8 $165,280
NOTE: For families with more than 8 persons, add $16,720 for each additional person.

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

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

  • Bend: 541-706-7756
  • Redmond: 541-526-6506
  • Prineville: 541-447-8440

Financial counseling locations


St. Charles Bend (hospital)
2500 NE Neff Rd

St. Charles Business Services office
63047 NE Layton Ave

St. Charles Family Care Bend South
61250 SE Coombs Place


St. Charles Redmond (hospital)
1253 N Canal Blvd

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


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


St. Charles Madras (hospital)
470 NE A Street

Download Financial Assistance Application

Download Financial Assistance Policy