Financial Assistance

Patients whose family income does not exceed 275% of the Federal poverty guidelines may be eligible for financial assistance. 

Patients must complete a Financial Assistance Application in order to be considered for Parkview’s Financial Assistance program. Patients must apply for financial assistance within 240 days of the date marked on their first statement for services rendered.

Patients eligible for financial assistance will not be charged more than the amount generally billed. The amount generally billed is defined as the amount allowed by Medicare and commercial insurance for emergent or medically necessary care. 

Federal Poverty Guidelines

Charges from certain physicians on Parkview Health facilities’ medical staff are eligible for consideration under Parkview’s financial assistance policy. Please see this document for information regarding physicians as of 2/1/2024.

Current Amount Generally Billed information can be downloaded here.

• You can call our Patient Services Financial Call Center at 260-266-6700 or toll-free 855-814-0012.
• Visit any Parkview cashier office between the hours of 9 a.m. – 4 p.m., Monday thru Friday.
• Send a written request to:
  Attention: ARS Team Patient Financial Services
  Parkview Health
  P.O. Box 5600
  Fort Wayne, IN 46895

Parkview determines the need for financial assistance by reviewing the medically necessary services requested by the referring provider; any care previously provided; available insurance coverage or other sources of payment; and an applicant's financial profile. This method allows for a fair and accurate way to assist patients who are experiencing financial hardship.

Required financial information may include annual household income, applicable assets, household size and confirmation of application for all sources of coverage, including Medicaid, if eligible. International patients are not generally eligible for financial assistance.

To take the next step towards financial assistance – print off and return a signed financial assistance application (see below) and the required attachments by mail or fax.

• Financial Assistance Application - English
• Financial Assistance Application - Spanish
• Financial Assistance Application - Burmese

Mail:
Attention: ARS Team Patient Financial Services
Parkview Health
P.O. Box 5600
Fort Wayne, IN 46895

Fax:
Parkview Patient Accounting
260-458-5811

What’s Next?

It can take up to 45 days to review your completed Financial Assistance application once it’s been received.

• You will be notified, in writing, of the outcome of your application.
• If partial financial assistance is approved, the letter will also provide the amount for you to pay.

• Financial Assistance Policy - English
• Financial Assistance Policy - Spanish
• Financial Assistance Policy - Burmese

• Plain Language Summary - English
• Plain Language Summary - Spanish
• Plain Language Summary - Burmese

• Collections Policy - English
• Collections Policy - Spanish
• Collections Policy - Burmese