LifeBridge Health > Financial Assistance

LifeBridge Health Financial Assistance

Do you need help paying your hospital bill?

Carroll Hospital, Grace Medical Center, Northwest Hospital, and Sinai Hospital proudly offers financial assistance or discounts to those individuals who are having financial difficulty and qualify. Patients should not have to choose between paying their bills and receiving care at Carroll Hospital, Grace Medicaid Center, Levindale Hebrew Geriatric Center, Northwest Hospital, or Sinai Hospital. The application is simple to complete and easy to apply.

Eligibility

Eligibility is based on the individual’s annual income and family size. Patients and families with annual income below 300% of the U.S. Government’s Federal Poverty Level may qualify for discounts up to 100% of their hospital bill. Use the below table to match your annual income and family size. If your income is below the amount listed in the table, you may qualify. Complete an application or contact our Customer Service department for more information at (800)788-6995. 

Uninsured & Underinsured 100% Discount
Family Size Earnings Period <300%
1 Monthly $3,190
Annual $38,280
2 Monthly $4,310
Annual $51,720
3 Monthly $5,430
Annual $65,160
4 Monthly $6,550
Annual $78,600
5 Monthly $7,670
Annual $92,040

Note: For each additional person add $1,120 monthly or $13,440 annually

How to apply

The application process is easy. Simply click here for a Financial Assistance application or request an application by calling Customer Service at (800)788-6995, visiting a Customer Service location at Carroll Hospital, Grace Medicaid Center, Northwest Hospital, and Sinai Hospital or asking a Registration Representative. Return a completed application to Customer Service or any Registration Representative. Application can also be faxed to (401)601-4031 or mailed to:

LifeBridge Health,
Attn: Financial Assistance Representative,
2401 West Belvedere Avenue
Baltimore, Maryland 21215

Additional documentation may be requested to make a determination. Most determinations are completed within 14 business days. You will receive a letter by mail or a telephone call about your eligibility.

Which Providers and Hospitals Participate?

Each hospital participates in the Financial Assistance program. These hospitals include Carroll Hospital, Grace Medical Center, Levindale Hebrew Geriatric Center and Hospital, Northwest Hospital and Sinai Hospital. Charges for physician services are billed separately and may not be covered by the Financial Assistance Policy. For a complete list of participating providers, please see Services and Providers Covered Under the Financial Assistance Policy.

More Information:

Plain Language Summary – For a summary of the Financial Assistance Policy, click here for English, Spanish, Russian.

Financial Assistance Policy – For more information about the Financial Assistance program, click here for the policy in English, Spanish, Russian.

Financial Assistance Application – Download a Financial Assistance Application. Click here for English, Spanish, Russian.

Services and Providers Covered Under the Financial Assistance Policy – For a list of participating locations and providers, click here for English, Spanish, Russian.