Bronson Financial Assistance Plain Language Policy Summary

Bronson’s Financial Assistance Program is for patients who are not able to pay. The patient may have already had emergency or medically necessary care.

You may be approved if:

• You are a resident of Michigan, Ohio, Illinois or Indiana
• You have income at or below 350% of the Federal Poverty Level (FPL)
• You complete the Bronson Financial Assistance Application
• You provide the needed documents Patients must apply within 240 days from the first billing statement.

Discounts are calculated from the Amounts Generally Billed (AGB). AGB is based on amounts received as reimbursement from insurance companies. Patients that are eligible for financial assistance will not be pay more than AGB.

Eligibility is determined using a sliding scale. The family income will be at or below 350 percent of the Federal Poverty Level (FPL).

Bronson Battle Creek Hospital, Bronson LakeView Hospital, Bronson Methodist Hospital and Bronson South Haven Hospital

Bronson’s financial assistance staff will review applications. The decision is made on the application information, income, and assets. Some additional conditions can be found in the full financial assistance policy.

Once a completed application is received, patients will have a decision within 30 business days. Discounts are calculated by the information received.

If more information is needed, the patient will receive a letter. The patient will have 10 business days to return the information.

For an application to be approved all documents must be submitted. If information is not correct, or another solution is found, Bronson may not be able to help.

Bronson gives care for emergency medical conditions even if the patient can’t pay. This is the law based on the Emergency Medical Treatment and Labor Act (EMTALA).

Free copies of the policy, and application are available in English, Spanish, Arabic and Burmese. Copies are located in the emergency department, admitting and financial counseling areas. They may also be found on the website at www.bronsonhealth.com/financialassistance. To get copies in the mail, call Bronson billing at (800) 699-6117.

To apply for financial assistance or find out more about Bronson’s financial assistance program, contact Bronson billing or financial counselors:

Bronson Billing Department

1-800-699-6117

Hours: Monday – Friday 8:30 a.m.-5:30 p.m.

Bronson Financial Counseling Departments

Patients needing financial assistance while at the hospital or who need help completing the application, can meet with Financial Counselors on-site.

Hours: Monday – Friday 8:30 a.m. – 4:30 p.m.

• Bronson Battle Creek Hospital – 269-245-8124
  300 North Avenue, Battle Creek, MI
  
  Financial Counselors are located in the Registration Department to the right, past the Greeter Desk. Enter through the Outpatient Center entrance, parking lot entrance off Emmett Street.

• Bronson Lakeview Hospital – 269-657-1532
  408 Hazen Street, Paw Paw, MI
  
  Financial Counselors are located on 1st Floor, North Entrance in the Outpatient Registration area.

• Bronson Methodist Hospital – 269-341-6120
  601 John Street, Kalamazoo, MI
  
  Financial Counselors are located in the Financial Services office on the 1st Floor Medical Office Pavilion behind the main Information Desk.

• Bronson South Haven Hospital – 269-639-2865
  955 South Bailey Avenue, South Haven, MI
  
  Financial Counselors are located in the Cashier’s Office on the 1^st floor across from the Gift Shop. Enter through the door marked Main Entrance and turn to the left.