Financial Assistance Programs
SharePay - SharePay Program Overview and Patient Information
Application & Income Guide
SHARE PAY APPLICATION (PDF)
INCOME GUIDELINES (PDF)
SharePay for Healthcare Services
Working Together To Provide Affordable Quality Healthcare Close To Home.
At St. John's Lutheran Hospital, we realize that healthcare is an expensive necessity and that not everyone can afford the full cost of the care we provide. Every patient we see has their own unique financial situation, and even those that are insured may still not be able to meet their medical financial responsibilities.
In an effort to better address these financial situations, we offer a financial assistance program at St. John's called SharePay for healthcare services.
Under this program, some of our patients may qualify for discounts on the care they receive from us. The discount is based on a sliding scale, taking into account income level, debts, assets, and family size.
Even if you have health insurance or belong to a Federal assistance program, you may still qualify for SharePay.
To apply for SharePay, your family income must be less than the following guidelines:
Family Size Yearly Family Income
1 - $26,251
2 - $35,557
3 - $44,863
4 - $54,169
5 - $63,475
6 - $72,781
7 - $82,087
8 - $91,393
For each additional person add $9,306
NOTE: Income is defined to include all sources of household income including, but not limited to, before tax wages/earnings, social security, alimony, unemployment compensation, and investment income. Household income can also include the value of food, rent, as well as goods received inkind and from external assistance.
In addition to the income levels noted above, St. Johns will also review asset levels when determining SharePay eligibility. A single person cannot have assets exceeding $7,500, and a familys total assets cannot exceed $15,000. Asset exemptions include $150,000 in equity for the residence where a patient and the patient's family reside, and automobiles required to transport all working parties to/from work.
If your total family income (income of all members of your household) is less than the guidelines, and your assets do not exceed the amounts noted above, you are eligible to apply. You must be willing to provide proof of income for each member of the household, and must also provide proof of assets.
St. John's Lutheran Hospital has Financial Resource Counselors on staff that will be happy to answer any questions you may have concerning the application process. They can be reached at (406) 283-7005.
Once we have recieved your application, a Financial Resource Counselor will contact you for any additional information or documentation we may require. If you do not provide this information within 30 days of that contact, your application will be cancelled and you will not be eligible for the SharePay Program. You must then make payment arrangements for any outstanding amounts due to the hospital.
Once we review your completed application and documentation, you will be informed via letter of your acceptance or denial into the SharePay program within 20 business days.
NOTE: Falsification of financial information (including number of dependents) or refusal to cooperate with hospital staff will result in denail of assistance. Accounts must be in good credit standing and payment arrangements must be made with the Financial Resource Counselor.
You must reapply for the SharePay program every 12 months, and are required to notify us of any change in your familys income, net worth, or insurance status, which may affect your eligibility for this program.
Thank you for choosing St. John's Lutheran Hospital for your healthcare services. Our pledge is to provide you with affordable quality healthcare close to home.
Please feel free to contact our Financial Resource Counselor at (406) 283-7005 if you have any questions about this process.
Share Pay Application
SHARE PAY APPLICATION (PDF)