Financial Assistance Program

Big Sky Medical Center is committed to providing access to emergency and medically necessary healthcare services to patients who are uninsured or have limited insurance available.

Generally speaking, to be eligible for discounted charges, patients must have family incomes under 250% of the Federal Poverty Guidelines. To be eligible for free care, patients must have family incomes at or below the Federal Poverty Guidelines.

Financial assistance also may be available in other limited circumstances, depending on the size of the patient’s medical bills and whether the patient meets certain other criteria for eligibility.

Patients may apply for financial assistance by completing a Financial Assistance Application. Download our Financial Assistance Application and Financial Assistance Policy.

Patients may also receive free copies of the Financial Assistance Application and the policies by mail, by calling 406-414-1015, or may obtain free copies in person at the Big Sky Medical Center Emergency Department, at Big Sky Medical Center Patient Registration areas or at the Bozeman Health Patient Financial Services (PFS).

FINANCIAL ASSISTANCE INFORMATION

Amounts General Billed Info

If a patient is determined to qualify for Financial Assistance under this policy, the patient’s billed charges will be no more than the same Amounts Generally Billed (AGB) for emergency or other Medically Necessary Health Care Services as patients who have insurance coverage.

AGB Percentage

Bozeman Health Deaconess Hospital’s & Big Sky Medical Center’s AGB percentage is 64.5% of gross charges for inpatient and outpatient services.

This percentage is based on all claims allowed for Bozeman Health’s emergency and other Medically necessary inpatient and outpatient services by Medicare, Medicaid, and private payers over a 12-month period divided by the associated gross charges for those claims.

LOOK-BACK PERIOD

The 12 month look-back measurement period currently in effect is:

  • July 1, 2015 - June 30, 2016

This AGB will be applied starting as of October 1, 2016, and continuing September 30, 2017.

Amounts Generally Billed - Spanish Version

Si se determina que un paciente califica para recibir ayuda financiera bajo esta política, los cargos facturados del paciente no serán más que los mismos Montos generalmente facturados (Amounts Generally Billed, AGB) por servicios de emergencia y otros servicios de atención médica necesarios por razones médicas como pacientes que tienen cobertura de un seguro médico.

Porcentaje de AGB

El porcentaje de AGB de Bozeman Health Deaconess Hospital es el 64.5% de los cargos brutos por servicios para pacientes hospitalizados y ambulatorios.

Este porcentaje se basa en todos los reclamos que se permiten para los servicios de emergencia y otros servicios necesarios por razones médicas para pacientes hospitalizados y pacientes ambulatorios de Bozeman Health, ofrecidos por Medicare, Medicaid y pagadores privados en un período de 12 meses, dividido entre los cargos brutos asociados por esos reclamos.

PERÍODO DE RETROACTIVIDAD

El período de medición de retroactividad de 12 meses que está vigente actualmente es:

  • del 1.° de julio de 2015 al 30 de junio de 2016

Estos AGB se aplicarán a partir del 1.° de octubre de 2016 y continuarán hasta el 30 de septiembre de 2017.

Bozeman Health Providers Covered by Financial Assistance Policy

The following providers are all supported under Bozeman Health's Financial Assistance Policy.

  • Bozeman Health Deaconess Hospital
  • Bozeman Health Cancer Treatment Center
  • Bozeman Health ER Providers
  • Bozeman Health Medical Group
    • Audiology
    • Belgrade Clinic
    • Bridger Internal Medicine
    • Cardiology Consultants
    • Diabetes Center
    • Ear, Nose, & Throat
    • Family Medicine
    • Family Practice Associates
    • GI Clinic
    • Infectious Disease & Travel Medicine
    • Internal Medicine Associates
    • Nephrology
    • Neuroscience Center
    • Pediatrics
    • Pulmonary and Sleep Medicine
    • Rheumatology
    • Spinelli Internal Medicine
    • Urological Associates
    • Women’s Specialists
    • Wound Clinic and Hyperbaric Medicine
  • Bozeman Health Gallatin Family Medicine
  • Bozeman Health Urgent Cares
  • Bozeman Health Big Sky Medical Center
  • Bozeman Health Same Day Surgery Center

Any other physician or provider of care at Bozeman Health not listed above is not subject to the Financial Assistance Policy.

Financial Assistance Policy

Financial Assistance Application

Financial Assistance Application - Spanish Version

Financial Assistance Plain Language Summary

You may download the plain language summary here.

Financial Assistance Plain Language Summary- Spanish Version

You may download the plain language summary here.

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