Financial Assistance Policy

Stony Point Surgery Center and West Creek Surgery Center
Charitable Care and Financial Assistance Policy

Stony Point Surgery Center's/West Creek Surgery Center’s Financial Assistance Policy exists to provide Eligible Patients (as defined below) partially or fully discounted emergent or medically-necessary care at Stony Point Surgeryt Center/West Creek Surgery Center (“Financial Assistance”).  Eligible Patients seeking Financial Assistance must apply for the program by completing a Financial Assistance Application Form.  

Eligible Patients – Those patients with or without third party insurance coverage with family income of over 200% and less than 300% of the Federal Poverty Guideline Levels are eligible for discounted care. Eligible Patients will not be charged more for Emergency or other medically necessary care provided by Stony Point Surgery Center/West Creek Surgery Center and its non-physician staff than Amounts Generally Billed (AGB) to those patients who are insured by Medicare.

Eligible Services –   Emergency or medically necessary services provided by Stony Point Surgery Center/West Creek Surgery Center and its non-physician staff.  

Financial Assistance Application Form – Financial Assistance Application Forms may be obtained/completed/submitted as follows:

This summary, the Financial Assistance Policy, and Financial Assistance application are available in Spanish and Arabic at the locations listed above.

Application

Full Policy
Download the application

 

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THIS WEB SITE IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED TO FURNISH MEDICAL ADVICE TO ANYONE.
ANY DIAGNOSIS, TREATMENT OR CARE OF A PATIENT SHOULD BE DISCUSSED WITH A PHYSICIAN.