The Helping Hands Program provides financial assistance for our patients who:
✓ Are uninsured
✓ Are underinsured
All patients are eligible to apply for financial assistance including those with insurance. Established discount guidelines are utilized to determine what amount, if any, will qualify for financial assistance.
DO I QUALIFY?
✓ Generally, patients with family income at or below 200% of the Federal Poverty Guidelines (FPG) will receive a 100% discount.
✓ Patients with Family Income greater than 200% up to 400% of the FPG, may be eligible to receive a discounted amount.
Each patient’s eligibility will be evaluated according to relevant circumstances, household income and other financial resources available to the patient or patient’s family.
HOW DO I APPLY?
Free copies of the Financial Assistance Policy and the Financial Assistance application can be obtained through any of the following sources:
Download and print a Financial Assistance Application from the links in the table below.
Contact a Customer Service Representative at 877.516.0911, Option 1.
Request an application in person at Dignity Health – St. Rose Dominican Neighborhood Hospital locations.
You may also request a copy of the application via mail at the address provided below.
Send the completed application and all requested documents by Registered Mail to the following address:
Dignity Health – St. Rose Dominican Neighborhood Hospital
– Central Billing Office
Attn: Customer Service
8686 New Trails Dr.
The Woodlands, TX 77381
HOW WILL I BE NOTIFIED?
If a submitted application qualifies or does not qualify for the Helping Hands Financial Assistance Program benefits, a Customer Service Representative will notify an applicant via phone call and by letter.
Financial Assistance Documents
| Mailing Address | Contact Number | Plain Language Summary | Financial Assistance Policy | Financial Assistance Application | Patient Billing and Collections Policy | |
|---|---|---|---|---|---|---|
| Dignity Health – St. Rose Dominican Blue Diamond Campus | Dignity Health – St. Rose Dominican – Central Billing Office Attn: Customer Service 8686 New Trails Dr. |
1-877-516-0911
Option 1 |
English Spanish |
English Spanish |
English Spanish |
English Spanish |
| Dignity Health – St. Rose Dominican North Las Vegas Campus | Dignity Health – St. Rose Dominican Neighborhood Hospital – Central Billing Office Attn: Customer Service 8686 New Trails Dr. |
1-877-516-0911
Option 1 |
English Spanish |
English Spanish |
English Spanish |
English Spanish |
| Dignity Health – St. Rose Dominican Sahara Campus | Dignity Health – St. Rose Dominican Neighborhood Hospital – Central Billing Office Attn: Customer Service 8686 New Trails Dr. |
1-877-516-0911
Option 1 |
English Spanish |
English Spanish |
English Spanish |
English Spanish |
| Dignity Health – St. Rose Dominican West Flamingo Campus | Dignity Health – St. Rose Dominican Neighborhood Hospital – Central Billing Office Attn: Customer Service 8686 New Trails Dr. |
1-877-516-0911
Option 1 |
English Spanish |
English Spanish |
English Spanish |
English Spanish |
Additional Resources
Nevada Health Link
Marketplace for individuals and small business to find affordable coverage in Nevada.
- Phone number: 702-616-4904
- Email: [email protected]
Nevada Medicaid
Free or low-cost health coverage for children and adults with limited income and resources.
COBRA
An employee’s guide to health benefits under COBRA.