LifeBridge Health Financial Assistance

Financial Assistance Banner


Do you need help paying your hospital bill?

Financial hardship doesn't have to be an obstacle to your care. LifeBridge Health hospitals (Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Hospital and Nursing Center, and Grace Medical Center) can provide assistance, including discounts, to financially disadvantaged patients (including the uninsured or underinsured) who qualify.

Eligibility

Patients and families with an annual income up to 300% of the Federal Poverty Level may qualify for disounts up to 100% of their hospital bill.

For example, you may qualify if your income is lower than the amounts applicable to your family size in the table below (for each additional person, add $1,135 monthly or $13,620 annually):

Uninsured & Underinsured 100% Discount
Family Size Earnings Period up to 300% FPL
1 Monthly $3,220
Annual $38,640
2 Monthly $4,355
Annual $52,260
3 Monthly $5,490
Annual $65,880
4 Monthly $6,625
Annual $79,500
5 Monthly $7,760
Annual $93,120
Which Providers and Hospitals Participate?

Each LifeBridge Health hospital participates in the Financial Assistance Program. However, charges for physician services are billed separately and may not be covered by our financial assistance policy. For more about services and providers covered under our policy, please visit Financial Assistance Policy.

How to apply

Applying is simple. You can request a financial assistance application by calling Customer Service at (800)788-6995, vvisiting the Customer Service area at the hospital where you received care, or asking a registration representative. You can personally submit your completed application to Customer Service or a registration representative, fax it to (401)601-4031 or mailed to:

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

Please note that additional documentation may be requested in order to help us make a determination. Most determinations are completed within 14 business days. You will receive either a letter by mail or a telephone call about your eligibility.


For additional information, call Customer Service at 1-800-788-6995

More Information:

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

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

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

Billing & Collections Policy - For more information click here for the policy in English, Spanish, Russian, or French.

Services and Providers Covered Under the Financial Assistance Policy – Click Here.