In furtherance of this mission, Arizona Spine and Joint offers charity care and discounts to eligible patients who may not have the financial capacity to pay for health care services and who otherwise may not be able to receive these services.
The eligibility requirements for charity care and income-based discounts are described in the Financial Assistance Policy. Financial assistance is not a substitute for personal responsibility. Applicants for financial assistance are expected to cooperate with Arizona Spine and Joint Hospital’s policies and procedures for obtaining financial assistance, and Arizona Spine and Joint Hospital’s billing and collection efforts with regard to any amounts owed after applicable discounts. Applicants who have the financial capacity to purchase health insurance will be provided with information regarding insurance options and encouraged to apply. In addition, applicants who may be eligible for government-sponsored health care programs such as Medicaid or the Children’s Health Insurance Program (CHIP) or Medicare will be required to apply for such programs as a means of paying their hospital bills. Submitting an application for government-sponsored health care programs will not preclude a patient’s eligibility for financial assistance under this Financial Assistance Policy.
Arizona Spine and Joint Hospital will seek to determine eligibility for financial assistance prior to hospital services being rendered, and will do so after services are rendered when it is not possible to make the determination at an earlier stage. Eligibility is determined based on Federal Poverty Level (FPL). The FPL is defined by the poverty guidelines updated periodically in the Federal Register by the United States Department of Health and Human Services under the authority of subsection (2) of Section 9902 of Title 42 of the United States Code.
If you are uninsured or underinsured with an annual family income between 200-500% of the Federal Poverty level, you will be charged the Amount Generally Billed (AGB), which is an amount set under federal law that reflects the amounts that would have been paid to the hospital by private health insurers and Medicare (including co-pays and deductibles) for the medically necessary services that you received. If you are eligible for financial assistance under our Financial Assistance Policy you will not be required to pay more than the Amount Generally Billed described above.
Financially Qualified Patients whose Patient Family Income is at or below 200% of the FPL are eligible to receive a 100% discount off of their account balance for Eligible Services received by the patient after payment by any third party(ies).
Financially Qualified Patients whose Patient Family Incomes are above 200%, but at or below 500% of FPL are eligible to receive a discount for Eligible Services received by the patient. Upon request, patients with Patient Family Income above 200% but at or below 500% of FPL who receive a discount under this Financial Assistance Policy will also be provided an extended payment plan.
The process for determining eligibility for financial assistance shall reflect Arizona Spine and Joint Hospital’s values of human dignity and stewardship. Likewise, Arizona Spine and Joint expects that each applicant for financial assistance will make reasonable efforts to provide Arizona Spine and Joint Hospital with the documentation that is necessary for Arizona Spine and Joint Hospital to make a determination regarding the request for financial assistance and will pursue all other resources to pay for services obtained from Arizona Spine and Joint Hospital. If an applicant fails to provide information and documentation is necessary to make a determination regarding eligibility, Arizona Spine and Joint Hospital will consider that failure in making its determination.
Free copies of the hospital’s Financial Assistance Policy and financial assistance application forms are available online (see below) or at the hospital admitting area located near the main entrance. (Follow the signs to “Lobby.”) Copies of these documents can also be mailed to you upon request by calling the hospital at 480-832-4770.
Download the Arizona Spine and Joint Hospital Financial Assistance Policy and Application.
ASJH Financial Application
ASJH Financial Assistance Disclosure
Please review the links below for government sponsored health care programs.
Arizona Spine & Joint Hospital’s Financial Assistance Policy covers hospital services only. Other than these hospital services, there are no other billing providers subject to AZ Spine and Joint’s Financial Assistance Policy. Services provided by any and all physicians and physician assistants (including, but not limited to surgeons, anesthesiologists, physician assistants, hospitalists, etc.) within Arizona Spine & Joint Hospital are not covered by the Financial Assistance Policy. A list of providers not covered by the policy can be viewed here.