Financial Assistance

Financial Assistance Policy & Application

What is Financial Assistance? (Plain Word Summary)

Financial Assistance is a program for patients who are uninsured or underinsured and paying their bill has become a concern for them. This program provides a reduction in the patient-due balance, up to the complete forgiveness of the account. This program can aid those patients whose family income is up to 175 percent of the Federal Poverty Guideline. It is also important to understand that Children’s Care Hospital and School, DBA LifeScape, does not provide emergency or medically necessary care. However, if we did provide these services the amounts charged to a FAP-eligible individual cannot be more than the amounts generally billed or (ABG) for emergency or other medically-necessary care.

Política de Ayuda Financiera – Resumen del Lenguaje Simple

La ayuda financiera es un programa para pacientes que no tienen seguro o tienen seguro insuficiente, y les preocupa pagar su factura. Este programa reduce una porción del saldo adeudado del paciente, y puede perdonar la cuenta por completo. Este programa puede ayudar a los pacientes cuyo ingreso familiar es inferior al 175 por ciento de la Guía Federal de Pobreza. También es importante entender que Children's Care Hospital & School, DBA LifeScape, no proporciona atención de emergencia o médicamente necesaria. Sin embargo, si proporcionamos estos servicios, los montos cargados a una persona elegible para FAP no pueden ser más que los montos generalmente facturados o (ABG) para atención de emergencia u otra atención médicamente necesaria.

How do I apply for Financial Assistance?

There are several ways to obtain a copy of the LifeScape Financial Assistance Application:

  • Contact our Billing Office at (605) 444-9700 or (800) 584-9294
  • Visit with a member of our front desk staff at any of our locations, and they can provide you with an application.
      • 2501 W. 26th Street – Sioux Falls, SD
      • 4100 S. Western Ave – Sioux Falls, SD
      • 1020 W. 18th Street – Sioux Falls, SD
      • 7110 Jordan Drive – Rapid City, SD
      • 2524 Glenn Ave – Sioux City, IA

Questions?

If you have questions or require assistance completing the application, please contact our billing department at (605) 444-9700 or (800) 584-9294.