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.
Before being granted discounted care, you may be asked to apply for public assistance insurance programs including Medicare and any medical assistance programs offered by the Illinois Department of Healthcare and Family Services for which you may be eligible. You may link to program descriptions and applications using these helpful links: Sign up for Medicare | SSA Medical Program | HFS (illinois.gov)
If you need assistance in filling out your application forms, please contact Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753.
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 Regional Financial Assistance Program Policy.
You can apply for assistance by:
Once completed, you can submit your application by:
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 | 200% | 300% | 400% | 600% |
|---|---|---|---|---|
| 1 | $30,120 | $45,180 | $60,240 | $90,360 |
| 2 | $40,880 | $61,320 | $81,760 | $122,640 |
| 3 | $51,640 | $77,460 | $103,280 | $154,920 |
| 4 | $62,400 | $93,600 | $124,800 | $187,200 |
| 5 | $73,160 | $109,740 | $146,320 | $219,480 |
| 6 | $83,920 | $125,880 | $167,840 | $251,760 |
| 7 | $94,680 | $142,020 | $189,360 | $284,040 |
| 8 | $105,440 | $158,160 | $210,880 | $316,320 |
| Add per each additional person | $10,760 | $16,140 | $21,520 | $32,280 |
| Program Eligibility | 100% CFAP | CFAP 50% and CHRHC/CRMH IL Uninsured Discount Income Max | CAP 40% of income | CFH/CBMC/CEH/CHMH/ CHPK/CHPR IL Uninsured Discount Income Max |
Amounts Generally Billed (AGB) to Carle Financial Assistance Program participants will be determined by Medicare fee-for-service together with all private health insurers, during a prior 12-month period. 1. AGB determined
through calculations of sum of all payments plus the sum of all bad debt and
charity care adjustments divided by the sum of all charges in the time frame. 2. Time frame included
in method is for October 1 through September 30 of the prior calendar year.
If you have questions regarding the amounts charged to patients, please call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753.
As of Monday, April 15, patients will automatically be screened for the Carle Financial Assistance Program during the appointment scheduling process. If you are identified to be a self-pay patient who is not eligible for CFAP, you will be asked to pay a portion of the estimated charges prior to scheduling your appointment unless your medical needs fall under the standard exception list.
This pre-payment process will only affect appointment scheduling in the Champaign-Urbana service area for our Audiology, Ear, Nose and Throat (ENT), Eye, General Surgery, Oral and Maxillofacial Surgery and Plastic Surgery departments.
The standard exceptions list includes:
If you have any questions about the self-pay payment scheduling process, please contact Carle Patient Accounts at (888) 71-CARLE (888-712-2753).