Stoughton Hospital: Financial Assistance & Charity Care

Can't afford a bill from Stoughton 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

200%of the federal poverty level — the free-care income limit

Free care: Free care if your household income is at or below 200% of the federal poverty level.

Discounted care: If your income is between 201% and 210% of the poverty level, you get an 80% write-off; 211% to 220% gets a 60% write-off; 221% to 230% gets a 40% write-off.

How to apply: Stoughton Hospital: Financial assistance

Phone: 608-873-2257 — Patient Financial Services — call for help with the application or to have forms mailed to you.

How to apply

  1. Check the income limits above — eligibility is based on your household size and yearly income compared to the federal poverty level.
  2. Fill out the financial assistance application — download it at stoughtonhealth.com/fa, pick one up at Registration or Patient Financial Services, or complete it over the phone with a counselor.
  3. Gather proof of income and assets, like recent pay stubs and your most recent tax return.
  4. Mail, fax, or deliver the completed application to Stoughton Health Patient Financial Services, 900 Ridge Street, Stoughton, WI 53589 (fax 608-873-2255).

Good to know

See what Stoughton Hospital charges

Check if you qualify at other hospitals

Sources