Programa de Asistencia Financiera en español
Gunnison Valley Health is committed to providing emergency and medically necessary care to patients who are uninsured, or who have limited insurance (underinsured). You may qualify for financial assistance if you are unable to pay your bill, or if paying it would result in financial hardship. Gunnison Valley Health provides financial assistance to Gunnison, Hinsdale and Saguache County residents.
Our financial assistance program can help patients who:
- Have incomes at or below the Federal Poverty Guidelines
- Are uninsured with incomes under 400% of Federal Poverty Guidelines
If you have questions about eligibility, contact our financial counselors at 970-642-4790 or 970-641-7207 (yo hablo Español) as soon as possible. Our financial counselors are available Monday to Friday, 8 a.m. to 5 p.m. and Saturday, 8 a.m. to 3 p.m.
Si tiene preguntas sobre la elegibilidad, comuníquese con nuestro asesor financiero al 970-641-7207 lo antes posible. Nuestros asesores financieros están disponibles de lunes a viernes, de 8 a.m. a 5 p.m., y los sábados, de 8 a.m. a 3 p.m.
Financial Assistance Program Documents
- Plain-Language Summary of Financial Assistance Policy
- Plain-Language Summary of Financial Assistance Policy - Spanish
- Financial Assistance Program Application - English
- Financial Assistance Program Application - Spanish
- Financial Assistance Program Policy
- Financial Assistance Program Policy - Spanish
- Provider List
- Hospital Discounted Care Uniform Application
- Hospital Discounted Care Patient Rights
- Hospital Discounted Care Patient Rights – Spanish
Complete the Financial Assistance Program Application Online
Complete the Financial Assistance Program Application Online - In Spanish
Amount Generally Billed
If a patient qualifies for financial assistance under this policy, the patient's billed charges will be no more than the same amounts generally billed (AGB) for emergency or other medically necessary health care services as patients who have insurance coverage.
AGB Percentage
Gunnison Valley Health's AGB percentage is 71% of gross charges for inpatient and outpatient services.
This percentage is based on all claims allowed for Gunnison Valley Health emergency and other medically necessary inpatient and outpatient services by Medicare, Medicaid and private payers over a 12-month period divided by the associated gross charges for those claims.
Gunnison Valley Health Providers Covered by Financial Assistance
The following locations and providers are all covered under Gunnison Valley Health's Financial Assistance Program.
- Gunnison Valley Health*
- Gunnison Valley Health Emergency Room Physicians
- Gunnison Valley Health Hospitalist Physicians
- Gunnison Valley Health Mountain Clinic
- Gunnison Valley Health Urgent Care
- Gunnison Valley Health Family Medicine Clinic
- Gunnison Valley Health General Surgery Clinic
Any other physician or provider of care at Gunnison Valley Health not listed above is not subject to the Financial Assistance Program.
*Some non-urgent, elective or not medically necessary services are excluded from or limited in the Financial Assistance Program.
Contact Us
Our Financial Counselor is available to support you through the financial assistance process to ensure that you understand all eligibility, application and documentation requirements.
Our financial counselor is in the hospital Monday through Friday, 8:00 a.m. to 4:30 p.m.
Phone: (970) 642-4790
Email: FinancialCounselor@gvh-colorado.org
Mail: Gunnison Valley Hospital, Attn: Financial Counselor, 711 North Taylor Street, Gunnison, CO 81230
In Person: Gunnison Valley Hospital, South Entrance. Call to schedule an appointment.
ESPAÑOL:
Si habla usted en Español, por favor, llamanos a 970-642-4790.
VER PÁGINA ASSSISTANCE FINANCIERA EN ESPAÑOL -
HAGA CLIC AQUÍ
Financial Discounts and Programs
Self-Pay Discount: 15 percent discount off total charges for private pay.
Prompt Pay Discount: Payment made in full within 30 days of first statement date may be eligible for an additional 10 percent discount. Contact us for more information.
Payment Plan: Once you have received your first bill you may establish a payment plan by calling the Customer Service Department at 970-642-2764.
Medicaid Eligibility Screening: We can connect you to resources and information about the Medicaid application process.
Colorado Indigent Care Program (CICP)
The Colorado Indigent Care Program (CICP) is available to Colorado residents.
The Program is funded by Colorado taxpayers and Gunnison Valley Hospital.
Patients must apply for the Program, supply all required documentation,
and sign applications no later than 181 days past the date of service.
Required documentation includes:
- Documentation supporting Colorado residency and for all members of the household.
- Copies of all income sources
- Self-employed business ledger or profit and loss statement
- Copies of medical bills incurred during the past year
- Medicaid and/or CHP+ denial letter for every family member who may be eligible
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