Untitled Document
 
Billing Community Education Events Foundation Health Information

Hospital Publications Partners/Volunteers Physicians Quality & Safety Send a Greeting


Home |
Our Services
|
Careers
|
About Us |
Contact Us
|
On-line Services
Search:
900 Ridge Street · Stoughton, WI 53589 · 608-873-6611

Community Care Program

 

picturered bar

Stoughton Hospital is committed to assisting those who may not have adequate insurance coverage through our "Community Care Program".  Features of the Community Care Program are described below.

Uninsured Patient Discounts
Patients who are not covered by Medicare, Medicaid or other insurance are automatically given an upfront discount of 30% off the charges on their hospital bill. There are no application requirements to receive this reduction in charges.

Community Care Discounts
For those who qualify, our Community Care program may provide additional reduction or no charge for patients who have no insurance or are unable to pay the portion of their bill not covered by their insurance. The community care discounts offered range from 5% to 100% of the patient's bill depending upon income and family size. The program applies to hospital charges only and does not cover clinic or physician charges.

The community care discount is provided after an analysis of the circumstances surrounding each patient's ability to pay, including non-qualification for any county, state or federal programs. This feature of the Community Care program is not an entitlement.

To be considered for this discount, you must complete a Community Care application and return it along with the requested supporting documentation listed below.  Additionally, you must meet income eligibility guidelines established by the hospital.  For more information regarding this program, please call 608.873.2257.

Requirements
As verification of income, a copy of the applicant's most recent Federal Income Tax return is required.  As further proof of income, copies of the applicant's three most recent pay stubs and/or bank statements must also accompany the Community Care application.  Hospital personnel may require other verification of income or assets where deemed necessary.

Applicants for Community Care will be notified in writing of acceptance or denial within 30 days of receipt of a complete application and supporting documentation.

Print Community Care Application Now 

Print Release of Information Form



Privacy Statement © 2006 Stoughton Hospital · Affililiated with SSM Health Care of Wisconsin · All Rights Reserved · SSM Health Care