Help Paying Your Bill

Financial Assistance Program

As part of fulfilling its charitable commitment to the community, Keck Medicine of USC hospitals provide medically necessary services, without cost or at a reduced cost, to eligible patients who have an inability to pay for their care. Our commitment to providing high quality, comprehensive health care services – regardless of a patient’s ability to pay – ensures that the financial situation of people who need health care services does not prevent them from seeking or receiving care.

Eligibility for financial assistance may be determined any time the information is known. For patients qualifying for financial assistance, extended payment plans will be available, and these payment plans will be interest free. Patients will be provided with information on the availability of nonprofit credit counseling services.

Keck Medicine hospitals use poverty guidelines issued by the U.S. Department of Health and Human Services to determine a patient’s eligibility for financial assistance. The discount amount is based on family income compared to the Federal Poverty Level (FPL) for the current year.

Patients with family income under 200% FPL will be eligible for free care for the dates of service for which an application is completed. Uninsured or under-insured patients with family income between 201% and 400% FPL will be eligible for care at a sliding scale discount. Uninsured patients whose family income exceeds 400% of the FPL will receive the Compact discounted rate.

Patients requesting financial assistance should complete the Confidential Financial Assistance Application. Additionally, the patient may be provided with an application to the Medi-Cal program, the Healthy Families Program or other governmental program.

USC Care physicians strive to provide quality health care to the community they serve. If you have been approved for Keck Medicine of USC’s hospital financial assistance program, the physicians have committed to follow the same approval for payment obligation forgiveness and will apply a complete balance forgiveness or the partial forgiveness based on your approved applications status. As with the hospital policy, eligible services only include emergency or medically necessary procedures.

All applications, supporting documentation, and communication will be treated with the highest regard for patient confidentiality.

Hospital Billing Complaint Program

If you believe you were wrongly denied financial assistance, you may file a complaint with the State of California’s Hospital Bill Complaint Program. Go to hospitalbillcomplaintprogram.hcai.ca.gov for more information and to file a complaint.

Interpreter Services

If you speak Spanish, Chinese, Vietnamese, Tagalog, Korean, Armenian, Persian-Farsi, Russian, Japanese, Arabic, Punjabi, Cambodian, Hmong, Hindi, or Thai—call this number for free language assistance services. 1-800-USC-CARE (800) 872-2273

How To Apply:

Financial Assistance applications, Financial Assistance policies, Billing and Collections policies and Plain Language Summaries are available to all patients in multiple languages and different options are available to people with disabilities:

By Phone:
Call Keck Medicine of USC
Monday – Friday, 8 a.m. – 5 p.m. PST
at (855) 532-5729

By Email:
pfscustomerservice@med.usc.edu

In Person:
Please visit the Admitting, Registration or Front
Office Personnel/Departments at any of our
locations to ask for a copy of any and all of our
Financial Assistance documents.

Download and print the application below :

Financial Assistance Policy
Financial Assistance Program Application
Accounts Generally Billed Calculation
Accounts Billing and Collections Policy
Plain Language Summary
Discharge Notice of Financial Assistance and Payment Options

For more information or assistance with completing the financial assistance application, please call (855) 532-5729.

Spanish language documents:

Política de Descuentos y Asistencia Financiera
Solicitud de Asistencia Financiera
Cálculo de Montos Generalmente Facturados
Política de Facturación y Cobros
Resumen en Lenguaje Sencillo
Asistencia Financiera y Opciones de Descuento Para Pacientes

Para más información o asistencia para completar la solicitud de asistencia financiera, por favor llame al (855) 532-5729.

中文文件:

经济援助政策
经济援助计划申请
账户一般计费计算
账户计费和收款政策
简明语言摘要
針對患者的經濟援助和折扣方案

如需更多信息或协助填写经济援助申请,请致电 (855) 532-5729

한국어 문서:

재정 지원 정책
재정 지원 프로그램 신청
일반적으로 청구되는 계정 계산
계정 청구 및 수금 정책
일반 언어 요약
환자를 위한 재정 지원 및 할인 옵션

재정 지원 신청서 작성에 대한 자세한 정보나 도움이 필요하면 (855) 532-5729 로 문의하세요.

For information on financial assistance programs at USC Verdugo Hills hospital, please click here.