Financial Assistance Program
Financial Aid for Medical Care in Ravalli County
Marcus Daly Memorial Hospital extends financial assistance to patients
that meet all financial criteria and received care that was deemed medically
necessary. The
Patient Financial Assistance Highlights provides guidelines for financial assistance based on financial need to
self-pay patients receiving emergency and other non-elective services
for medical conditions.
Each application is reviewed by committee and assistance may range from
full write-off to discounted care or application not approved.
Download the Patient Financial Assistance Application Form (PDF)
Please see your statement for contact information. Each Marcus Daly Memorial
Hospital service bill, invoice, or other summary of charges includes Patient
Account Representative phone number and a statement in bold regarding
payment options and financial assistance provided at Marcus Daly Memorial
Hospital or call (406) 375-4498.
Financial Assistance Highlights
Marcus Daly Memorial Hospital's mission is, Our commitment to the Bitterroot
Valley is quality, accessible, personalized healthcare. As part of this
mission, Marcus Daly Memorial Hospital offers financial assistance through its
Financial Assistance Policy to patients for emergency or other medically necessary care.
Purpose
Consistent with the mission of Marcus Daly Memorial Hospital to provide
quality, accessible, personalized healthcare to the Bitterroot Valley,
Marcus Daly Memorial Hospital is committed to provide free care to uninsured
individuals who are in need of
emergency medical care or other medically necessary treatments.
Policy
Free care is provided only when care is deemed medically necessary and
after uninsured patient has been found to meet all financial criteria. Click
Summary of Financial Assistance and or
Financial Assistance Policy for more information. All other sources of funding should be exhausted
before approval of financial assistance program (such as Medicaid, Crime
Victims or other programs).
Uninsured patients who are believed to have the financial ability to purchase
health insurance will be encouraged to do so in order to ensure healthcare
accessibility.
Financial Assistance is not considered an entitlement and each determination
of eligibility stands on its own. Past acceptance of an account for financial
assistance does not guarantee future accounts will also be accepted.
Eligibility
Patients who are uninsured and have household income at or below 100% of
Federal Poverty Guideline may be eligible for free care. Patients who
are uninsured and have household income between 100-200% may be eligible
for partial financial assistance, which will be determined on a case by
case basis based on the ability to pay.
-
A
financial assistance application must be completed to determine eligibility.
- When determining eligibility Marcus Daly Memorial Hospital does not take
into account race, gender, age, sexual orientation, religious affiliation,
and social or immigrant status.
- Household must demonstrate inability to work if patient or spouse is not
working full time.
- The amount of assets owned by the patient/household will be considered
in the decision. These situations will be assessed on an individual and
case by case basis.
- If Marcus Daly Memorial Hospital determines any documentation or information
provided is untrue the application will be denied.
- The patient must be a resident of Ravalli County unless the services were
for emergency care.
Application Process
- To apply for financial assistance, patients must submit an application
including supporting documents to Patient Financial Services, 1200 Westwood
Drive, Hamilton, MT 59840 either in person or by mail.
-
Click for an application or pick one up at the Patient Financial Services department. Applications
must include all requested information. If the application is not complete,
it will not be processed.
- Additional information that may be requested include: bank statements,
proof of income for applicant and spouse (if applicable) such as 3 recent
pay stubs, unemployment payment stubs or prior year tax return.
-
External sources may be used to validate information such as credit scores,
State of Montana property information
http://svc.mt.gov/msl/mtcadastral).
- Gross Annual income will be used to determine eligibility.
- For a minor child with divorced parents, household information from both
parents must be received.
- For patients who are separated but not divorced financial information from
both parties is required.
- Applications are reviewed and processed on a case by case basis and by
committee. Financial Assistance is limited, therefore MDMH adheres to
the policy and guidelines to ensure that the most qualified receive support.
Approved applications are valid for a period of six months. If the patient
has services that require additional financial assistance and the application
is more than six months old a new application must be completed.
Actions in the Event of Non-Payment
Patients are responsible for their incurred healthcare expenses. It is
the policy of Marcus Daly Memorial Hospital to pursue collection of patient
balances who have the ability to pay for services,
Billing and Collection Policy. Marcus Daly Memorial Hospital may take collection actions if financial
assistance application and/or payment are not received. MDMH offers prompt
pay discounts, payment arrangements, online bill pay and the public benefits
program MASH. To apply for assistance through MASH please call (406) 327-4317.
For Marcus Daly Patient Financial Services call (406) 375-4498.
For further information, please call Patient Financial Services at (406) 375-4498.