Other Locations Financial Assistance Information
Serving the Needs of Those in Our Area
At AdventHealth, we are committed to excellence in providing quality health care to all individuals in need. We believe that every person deserves access to medical treatment, irrespective of their financial circumstances. Therefore, we assure you that all patients will be treated with compassion and respect, regardless of their ability to pay. Our mission is to extend the healing ministry of Christ and we remain committed to upholding this principle at all times.
Financial assistance is only available for emergent care or medically necessary care, except as may be determined in the sole discretion of AdventHealth on a case-by-case basis. Patients may apply for financial assistance in accordance with the guidelines set forth in the Financial Assistance Policy below. Verification of income and financial information is required.
AdventHealth limits amounts billed for uninsured patients for emergency and medically necessary care that may be eligible for financial assistance to Amounts Generally Billed (AGB). The AGB amounts are determined by taking all accounts paid in full over a recent 12-month period for Medicare, Medicare Advantage and contracted commercial insurance and calculating the average discount given. Your financial responsibility is then calculated as follows:
Your Total Charges X Calculated Average Discount Percentage = Your Financial Responsibility
If you receive emergency or medically necessary care and are eligible for assistance under our Financial Assistance Policy, you will never be billed more than this amount. To request the actual percentage discount applicable to your hospital of choice, please refer to the contact information provided on the cover page of the financial assistance document packet or the contact information included on the financial assistance section of the financial assistance web page.
Per our Financial Assistance Policy, to qualify for a 100% reduction in your financial responsibility, you must have received emergency or medically necessary care and have an annual household income that does not exceed 250% of the Federal Poverty Guideline, according to the table below. An application and supporting documentation is required to qualify.
2024 Federal Poverty Guidelines | ||||
|---|---|---|---|---|
Household Size | 100% of Poverty | 250% of Poverty | 400% of Poverty | 600% of Poverty |
1 | $15,060 | $37,650 | $60,240 | $90,360 |
2 | $20,440 | $51,100 | $81,760 | $122,640 |
3 | $25,820 | $64,550 | $103,280 | $154,920 |
4 | $31,200 | $78,000 | $124,800 | $187,000 |
5 | $36,580 | $91,450 | $146,320 | $219,480 |
6 | $41,960 | $104,900 | $167,840 | $251,760 |
7 | $47,340 | $118,350 | $189,360 | $284,040 |
8 | $52,720 | $131,800 | $210,880 | $316,320 |
Please click on the link "Calculation of Amount Owed for Financial Assistance Eligible Individuals" for an explanation of how your uninsured discount is calculated.
Calculation of Amount Owed for Financial Assistance Eligible Individuals
The following documents are included when you access the links below: Summary of our Financial Assistance Policy; Financial Assistance Application; and Financial Assistance Policy.
| Language | Summary of our Financial Assistance Policy | Financial Assistance Application | Financial Assistance Policy |
|---|---|---|---|
| English | View PDF | View PDF | View PDF |
| Chinese (中文) | View PDF | View PDF | View PDF |
| Korean (한국어) | View PDF | View PDF | View PDF |
| Polish | View PDF | View PDF | View PDF |
| Spanish (Español) | View PDF | View PDF | View PDF |
| Tagalog (Filipino) | View PDF | View PDF | View PDF |
You may also talk with a hospital representative for additional assistance and information using the contact information below.
UChicago Medicine AdventHealth Bolingbrook
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
UChicagoMedicine AdventHealth Bolingbrook Addendum Physician Financial Assistance
UChicago Medicine AdventHealth Patient Financial Services
Attention: Financial Assistance Department
1000 Remington Blvd., Suite 110
Bolingbrook, IL 60440
UChicago Medicine AdventHealth GlenOaks
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
UChicago Medicine AdventHealth GlenOaks Addendum Physician Financial Assistance
UChicago Medicine AdventHealth Patient Financial Services
Attention: Financial Assistance Department
1000 Remington Blvd., Suite 110
Bolingbrook, IL 60440
UChicago Medicine AdventHealth Hinsdale
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
UChicago Medicine AdventHealth Hinsdale Addendum Physician Financial Assistance
UChicago Medicine AdventHealth Patient Financial Services
Attention: Financial Assistance Department
1000 Remington Blvd., Suite 110
Bolingbrook, IL 60440
UChicago Medicine AdventHealth La Grange
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
UChicagoMedicine AdventHealth La Grange Addendum Physician Financial Assistance
UChicago Medicine AdventHealth Patient Financial Services
Attention: Financial Assistance Department
1000 Remington Blvd., Suite 110
Bolingbrook, IL 60440