Financial Assistance Program

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What is the Financial Assistance Program?

The Financial Assistance Program helps those who are unable to pay for the cost of their care.

Who can apply?

All patients and responsible parties are eligible to apply for the Financial Assistance Program. The Financial Assistance Program provides discounts to families:

  • Who are at or below 400% of the Federal Poverty Guideline (FPG) or who have balances billed by St. Charles that total more than their family’s annual income

No individual Financial Assistance Program eligible person will be charged more for emergency or medically necessary care than the amount generally billed.

NOTE: All insurance opportunities and/or reimbursements must be exhausted before a financial discount is applied

Which providers participate in the St. Charles Financial Assistance Program?

Download the list of providers (updated July 2025)

How do I get a financial assistance application?

The St. Charles Health System Financial Assistance Program application and policy are available free of charge by:

How do I submit my financial assistance application?

You can submit the St. Charles Health System Financial Assistance Program application by:

  • Fax the completed application to this number: 541-706-6707
  • Drop off completed application at any Financial Counseling location, listed below
  • Mail the completed application to this address:

    St. Charles Health System
    Attn: Financial Assistance
    PO Box 6095
    Bend, OR 97708

General Income Guideline (based on 400% of the 2025 FPG)

Family sizeAnnual income
1$62,600 or less
2$84,600 or less
3$106,600 or less
4$128,600 or less
5$150,600 or less
6$172,600 or less
7$194,600 or less
8$216,600 or less
NOTE: For families with more than 8 persons, add $22,000 for each additional person.

Regardless of income, everyone is eligible to apply to determine if they qualify for assistance.

Presumptive Screening Financial Assistance

Under Oregon law, St. Charles is required to screen patients to determine if they are eligible for financial assistance whenever a patient has Medicaid coverage, does not have insurance, or owes St. Charles over $500. These rules and criteria are established by the Oregon Health Authority, and St. Charles is committed to following the law by providing free or discounted medical care to our low-income patients who qualify. You can read more here: https://olis.oregonlegislature.gov/liz/2023R1/Downloads/MeasureDocument/HB3320/Enrolled
     
The law does not allow patients to opt out of the prescreening process. This means St. Charles will conduct the prescreening using eligibility standards of the St. Charles Financial Assistance Program and in accordance with the minimum standards specified in ORS 442.614. As part of the prescreening process, St. Charles may ask patients to voluntarily provide their household size and/or household income. Patients do not have to answer these questions to receive financial aid. St. Charles will conduct good faith efforts to complete pre-screening using available information but may not be able to grant any financial aid without the patient, providing accurate household size and/or household income. If prescreening is inconclusive, patients may apply for financial aid by submitting a financial assistance application.  
     
If you are approved for financial assistance, you can decline the financial aid.

Financial counselors are at the following locations (hours vary by location).

Bend
St. Charles Bend (hospital)
2500 NE Neff Rd
541-706-7756

Redmond and Prineville
St. Charles Prineville (hospital)
384 SE Combs Flat Rd
541-447-8440

Madras
St. Charles Madras (hospital)
470 NE A Street
541-460-4098

Download Financial Assistance Policy

Download Financial Assistance Application

Download Credit and Collections Policy

Download Plain Language Summary

Download Financial Assistance Policy Exclusions

También están disponibles en español la información sobre el Programa de Ayuda Financiera y la Solicitud de Ayuda Financiera.

Descargar Política de Asistencia Financiera
Descargar la solicitud de asistencia financiera
Credito y Cobranzas
Programa de asistencia financiera Resumen en lenguaje sencillo