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Financial assistance

Financial assistance application

This is an application for financial assistance (also known as charity care) at Arbor Health, Morton Hospital, and clinics.

Washington state requires all hospitals to provide financial assistance to people and families who meet certain income requirements. You may qualify for free care or reduced-price care based on your family size and income, even if you have health insurance.

Financial assistance application form

What does financial assistance cover?

The hospital financial assistance covers appropriate hospital-based services provided by Arbor Health, Morton Hospital, and clinics depending upon your eligibility. Financial assistance may not cover all healthcare costs, including services provided by other organizations.

Who do I contact if I have questions or need help completing the application?

Please contact Health Resource Group at 855.880.7287 or see a hospital representative. You may obtain help for any reason, including disability and language assistance.

How do I get my application processed?

In order for your application to be processed, you must:

  • Provide us information about your family.
  • Fill in the number of family members in your household (family includes people related by birth, marriage, or adoption who live together).
  • Provide us information about your family's gross monthly income (income before taxes and deductions).
  • Provide documentation for family income and declare assets.
  • Attach additional information if needed.
  • Sign and date the form.

Note: You do not have to provide a Social Security number to apply for financial assistance. If you provide us with your Social Security number it will help speed up the processing of your application. Social Security numbers are used to verify information provided to us. If you do not have a Social Security number, please mark "not applicable" or "NA."

Where do I submit my application?

By mail: 
HRG c/o Arbor Health, Morton Hospital 
12610 E. Mirabeau Parkway, Suite 900
Spokane Valley, WA 99216

By fax: 
509.628.5272

Be sure to keep a copy for yourself.

In person:
Arbor Health, Morton Hospital
521 Adams Ave.
Morton, WA 98356

We will notify you of the final determination of eligibility and appeal rights, if applicable, within 14 calendar days of receiving a complete financial assistance application, including documentation of income.

By submitting a financial assistance application, you give your consent for us to make necessary inquiries to confirm financial obligations and information.

We want to help. Please submit your application promptly!

You may receive bills until we receive your information.

Financial assistance plain-language summary

In keeping with our mission, Arbor Health, Morton Hospital, cares for people and their health needs regardless of their ability to pay. We are committed to working with our patients through any financial issues, including finding ways to make medical care more affordable. Arbor Health, Morton Hospital, offers financial assistance to eligible patients who do not have the financial ability to pay for their medical bills. If you are having trouble paying for all or some of your health care, we encourage you to talk with an Arbor Health, Morton Hospital, financial counselor or someone in our business office about how we can help you.

What is covered

For emergency and medically necessary services at Arbor Health, Morton Hospital, we provide financial assistance to eligible patients on a sliding fee scale basis, with discounts ranging from 25 to 100 percent based on ability to pay. Financial assistance for other services at our nonhospital facilities is also governed by the policies of Arbor Health, Morton Hospital.

How to apply

Any patient may apply to receive financial assistance. A patient seeking financial assistance must provide supporting documentation specified in the application, unless Arbor Health, Morton Hospital, indicates otherwise. The application form may be obtained online or by telephone at 855.880.7287.

Coverage assistance

If you are without health insurance, you may be eligible for other government and community programs. We can help you discover whether these programs (including Medicaid and Veterans Affairs benefits) can help cover your medical bills. We also can help you apply for these programs.

Uninsured discounts

Arbor Health, Morton Hospital, offers a discount for patients who may not have health insurance coverage. Please contact us about our discount program.

Payment plans

After your insurance company processes the bill, any balance for amounts owed by you is due within 30 days. The balance can be paid in any of the following ways: credit card, payment plan, cash, check or online bill pay. If you need a payment plan, please call the number on your billing statement to make arrangements.

Emergency care

Arbor Health, Morton Hospital, with dedicated emergency departments, provides care for emergency medical conditions (as defined by the Emergency Medical Treatment and Labor Act) without discrimination as consistent with available capabilities, without regard to whether or not a patient has the ability to pay or is eligible for financial assistance.

For more information about getting help with your Arbor Health, Morton Hospital, medical bills, please call or visit a financial counselor or billing office at your local Arbor Health facility. We can give you any forms you need and can help you apply for assistance. Patients are strongly encouraged to ask for financial help before receiving medical treatment, if possible. Patients can also apply at any time while receiving treatment and for a period of time following receipt of your initial bill.