Good Samaritan Hospital: Financial Assistance & Charity Care
Can't afford a bill from Good Samaritan Hospital? You may not have to pay all of it. Nonprofit hospitals must offer financial assistance — here are this hospital's actual income limits and how to apply, taken from its own published policy.
Quick facts
400%of the federal poverty level — the free-care income limit
Free care: Free care (a full write-off) if your household income is between 0 and 400% of the federal poverty level and you provide the required income documents.
Discounted care: Not published — call the billing department to ask.
How to apply: Good Samaritan Hospital: Help paying your bill
Phone: 800-307-7631 — Patient account customer service.
How to apply
- Check the income limits above — a full write-off is available for household income between 0 and 400% of the federal poverty level.
- Fill out the financial assistance application and gather your income documents.
- Submit the application by mail or in person at the hospital — allow 21 days for review.
- Call 800-307-7631 if you need help completing it.
Good to know
- You can apply up to 240 days after your first bill — even if the bill already went to collections.
- A new bill means a new application — you can apply more than once. More in our guide You Might Not Have to Pay That Hospital Bill.
- Whatever remains after assistance can still be negotiated: How to Negotiate a Hospital Bill.
- Free help applying: Dollar For walks you through it at no cost.
See what Good Samaritan Hospital charges
Check if you qualify at other hospitals
Sources
- Policy details above come from the hospital's own published materials, linked below. Policies change — if a link breaks or a number looks off, call the hospital and please tell us.
- Good Samaritan Hospital (San Jose) Help Paying Your Bill
- Good Samaritan Hospital (San Jose) Patient Financial Resources