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Rutherford Regional Medical Center is committed to serving the healthcare needs of our patients, regardless of their ability to pay. Our Medical Assistance Program ensures that patients who have no ability to pay for care are not denied care and are assisted in the process of settling their hospital accounts.
Rutherford Regional will offer Medical Assistance adjustments to individuals who meet the guidelines as stipulated herein. Type of family, family size and the Income Poverty Guidelines published annually by the Department of Health and Human Services will be the key elements used to determine eligibility. The patient's assets and expenses will also be taken into consideration. Applications for the Medical Assistance Program should be complete and accurate and include verifiable proof of income and/or assets (i.e., W-2 forms, tax returns, payroll check stubs, statement from employer, deeds, tax records, etc.). All other avenues to obtain financial assistance and third party payment must be exhausted prior to receiving Medical Assistance adjustments. Medical Assistance will only apply to remaining balances after all third party payments are credited.
Medical Assistance applicants will be accepted and considered for all inpatient and outpatient services. Elective and cosmetic services are not eligible. If approved, the approval will include only the accounts within the last 6 months from date of application.
Applicants who are approved and their income is at or below 120% of the Poverty Guidelines will be granted a 100% adjustment for hospital services rendered. Applicants with incomes over 120% of the Poverty Guidelines may be eligible for an adjustment if their income is at or below the maximum level indicated. Patients with an income of up to 250% of Poverty Guidelines are eligible for a discount (see Medical Assistance Adjustment Chart For Incomes over 120% in Section II of the Financial Assistance Application below)
Applicants approved for the Medical Assistance Program with income levels above 120% of poverty but less than the maximum level indicated above will be expected to pay a portion of their bill. This amount will be determined by using the percentages from the Medical Assistance Adjustment Chart in Section 11 (found in the Financial Assistance Application link below). The patient will be expected to pay the lesser of the amount calculated using the formula under Section 11, Part A & B.
2012 Federal Poverty Guildelines
Financial Assistance Application
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