Financial assistance policy summary

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Financial assistance program

Children's Health℠ dedicates itself to providing high quality, low-cost care to all children. To help children get the care they need, Children's Health provides financial assistance for medical services. 

Please read Children's Health Financial Assistance Policy to learn more about:

  • How to apply for financial support.
  • Who is eligible to get financial support.
  • What types of support are available if you have health insurance.
  • What types of support are available if you do not have health insurance.

  • Financial assistance eligibility

    Patient under the age of 26 who is present in the United States without a permanent residence in another country or the guarantor (i.e., person responsible for payment for services) for such patient and who meet the Family Income requirements set forth in the  Financial Assistance Policy .

     

  • How do I apply for financial assistance?

    You may apply for financial assistance by completing a Financial Assistance Application.  You may have to submit other paperwork with the application to see if you qualify.  We have Financial Counselors available to help you with the application process in the Admitting Departments at both our Dallas and Plano locations (see below for address, business hours and phone numbers). You may be eligible to receive financial assistance in some cases without applying. 

    The Financial Assistance Application, this summary and the Financial Assistance Policy can be obtained in English, Spanish or certain other languages as follows:

    Children’s Medical Center Dallas
    Attn: Admitting Office
    1935 Medical District Dr
    Dallas, TX 75235

    Children’s Medical Center Plano
    Attn: Admitting Office
    7601 Preston Rd
    Plano, TX 75024

    View the full Assistance Policy

     

  • How much support can I get?

    Discount rates differ according to your patient Family Income. Please see below:

    • Patients with a family income between 301 and 400% of FPG will receive a 70% discount.
    • Patients with a family income between 201 and 300% of FPG will receive an 85% discount.
    • Patients with a family income up to 200% of FPG will receive a 100% discount.
    • An Eligible Applicant with a Self-pay Balance over the past 12 months exceeding 10% of the Eligible Applicant’s Family Income, who has exhausted all third-party payment sources, whose Family Income exceeds 400% of the FPG, and who is unable to pay the Self-pay Balance is eligible for a write-off of 85% of the Self-pay Balance if the Family Income is greater than 400% but less than 500% of FPG and 70% of the Self-pay Balance if the Family Income is in excess of 500%.
     

    A person who is eligible for financial support will not be charged more than the amounts generally billed (AGB) to individuals with insurance for emergency or other medically necessary care.

  • Attachment a/calculations of amounts generally billed

    Attachment A:

    Calculation of Amounts Generally Billed Effective Date: 07/21/2023 Page 14 of 14 Following a determination of financial assistance eligibility, an individual will not be charged more than the amounts generally billed (AGB) to individuals with insurance for emergency or other medical necessary care. The Children’s Health Provider use the “look-back method” to calculate the AGB using the previous year’s closed encounters. This method bases AGB on fully paid hospital claims where the primary payer is Medicaid fee-for-service, Medicare fee-forservice, Medicaid, and commercial health insurers. The Children’s Health Provider divides the sum of total payments made by those payers by the sum of total hospital charges for those claims to calculate the AGB. Closed claims during the prior fiscal year (12 months) are included in the calculation. The AGB is calculated annually and applied on a calendar basis.

    Children’s Health Provider Fiscal Year 2024
    Gross Charges: $5,170,627,502
    Discounts/ Contractual: $2,868,145,193
    Payments: $2,302,482,309
    Discount Rate: 55%

    AGB Rate for Calendar Year 2025: 45%

  • Financial counselors

    Financial Counselors are available to assist you with the application process in the Admitting departments at both our Dallas and Plano locations.  

    Children's Medical Center Dallas
    1935 Medical District Dr
    Dallas, TX 75235
    Monday - Friday: 7:00 a.m. - 5:00 p.m.
    Phone: 214-456-8640
    Fax: 214-456-6351

    Children's Medical Center Plano
    7601 Preston Rd
    Plano, TX 75024
    Monday - Friday: 7:00 a.m. - 5:00 p.m.
    Phone: 469-303-8640

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