Financial Assistance en Espanol
At Carle, we believe that the cost of healthcare should not stop anyone from receiving necessary care. Our patients may be able to receive free or discounted care through one of our financial assistance programs.
Completing a financial assistance application will help Carle determine if you can receive free or discounted services.
Eligible Services are those services provided in accordance with the generally accepted standards of medical practice by one of the following Carle entities*:
*Additional providers may provide services at a Carle location who are not participating under the CFAP. View complete listing of participating and non-participating providers.
For further details about the Carle Financial Assistance Programs, read the Plain Language Summary, Carle Financial Assistance Program Policy, or Carle HRHC Financial Assistance Program Policy.
You can apply for assistance by:
Once completed, you can mail your application to Carle Patient Financial Services, PO Box 4024, Champaign, IL 61824-4024. You may also come by and drop it off at any Carle front desk or office at the Hospital or within any of our clinics.
Eligibility will be determined once a completed application is received by Carle. Staff will review your application, and if approved, match you with the most beneficial financial assistance program at Carle. Patients will not be charged more for care than Amounts Generally Billed (AGB) to those patients who have insurance.
Family Size | 138% | 200% | 300% | 400% | 600% |
---|---|---|---|---|---|
1 | $17,609 | $25,520 | $38,280 | $51,040 | $76,560 |
2 | $23,791 | $34,480 | $51,720 | $68,960 | $103,440 |
3 | $29,974 | $43,440 | $65,160 | $86,880 | $130,320 |
4 | $36,156 | $52,400 | $78,600 | $104,800 | $157,200 |
5 | $42,338 | $61,360 | $92,040 | $122,720 | $184,080 |
6 | $48,521 | $70,320 | $105,480 | $140,640 | $210,960 |
7 | $54,703 | $79,280 | $118,920 | $158,560 | $237,840 |
8 | $60,886 | $88,240 | $132,360 | $176,480 | $264,720 |
Add per each additional person | $6,182 | $8,960 | $13,440 | $17,920 | $26,880 |
Program Eligibility | Must apply for Medicaid | 100% CFAP | 50% CFAP & Regional-IL Uninsured Discount Income Max | CAP 40% of income | CFH-IL Uninsured Discount Income Max |
It’s our goal to help you understand your financial assistance options and to help whenever possible. If you have questions, please call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753.
Carle Financial Assistance Program PO Box 4024 Champaign, IL, 61824-4024 Phone: (888) 71-CARLE, (888) 712-2753. Fax: (217) 902-7720 Email: FinancialAssistance@carle.com