We know paying for medical care can be difficult, particularly for patients who don't have health insurance. As part of our ongoing commitment to our patients, we work hard to help you address your financial responsibilities in a way that's fair and sensitive to your circumstances.

Charity Care Program

We've instituted a program designed especially to help those who find themselves in financial distress. We provide financial counseling to help patients gain access to government sources of medical assistance, including Medicaid, CHIP (Children's Health Insurance Program) and other state and local programs.

Dominion Hospital's charity care policy applies to uninsured patients who come to our facilities for emergency treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to federal poverty guidelines. Specifically, for non-elective care, patients whose household financial resources and/or income are at or below 200 percent of the Federal Poverty Level receive free care.

To qualify for charity care, uninsured patients will be asked to complete a simple form (English version; Spanish/Espanõl version) and in some instances, to provide additional income and resource verification information.

Financial Discount Program

We also have an uninsured discount program designed for uninsured patients who do not qualify for Medicaid, charity care or any other discount program offered by our facilities and whose household financial resources and/or income are more than 200 percent of the Federal Poverty Level. These patients receive a bill that reflects a discount from total charges.

We'll work with patients who have financial challenges to establish an appropriate payment plan based on the amount due and the patient's financial status. For us to offer discounts and other financial relief, please recognize that patients will be asked to cooperate with our financial counselors by providing them with essential financial information. Translation services are available.

Information regarding the financial discount policy is available in the emergency department of any HCA wholly owned hospital.

Contact Us

If you have questions regarding our policy or how to apply, call (800) 799-6478.