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Help Paying Your Bill

Barlow Respiratory Hospital offers financial assistance to patients who cannot pay for all or part of the care they receive. Depending on your family income and family size, you may qualify for free charity care or for discounted care.

Am I eligible?

Eligibility is based on your income and family size. We do not consider your assets. You can apply even if you have a pending application for other health coverage, and you are not required to apply for Medi-Cal, Medicare, or other coverage to qualify for a discount. There is no deadline to apply.

You may qualify for free charity care if your household income is at or below 250% of the Federal Poverty Level. You may qualify for discounted care if your household income is at or below 400% of the Federal Poverty Level.

A patient who is eligible for financial assistance will not be charged more than the amounts generally billed to patients who have insurance for that care.

How to apply

Complete the Financial Assistance Application and submit it to the Patient Financial Services Department. You may be asked to provide recent pay stubs or income tax returns to document your family income. You may apply at any time.

Financial Services Department, Main Campus, 2000 Stadium Way, Los Angeles, CA 90026. Phone (213) 250-4200, extension 3329. For help completing the application, call our Patient Financial Services Provider at (844) 288-2025.

Copies of the policy and application

Download the full Financial Assistance Policy, the application, and the plain language summary. Translations are available in Spanish and Armenian.

Hospital’s list of shoppable services

For the hospital’s list of shoppable services, open the Consumer Friendly Shoppable Services file on our Price Transparency page.

Hospital Bill Complaint Program

The Hospital Bill Complaint Program is a state program that reviews hospital decisions about whether you qualify for help paying your hospital bill. 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.

More help

There are free consumer advocacy organizations that will help you understand the billing and payment process. The Health Consumer Alliance offers free assistance by phone or in person and can help you apply for coverage such as Medi-Cal, private insurance, or Covered California. Call the Health Consumer Alliance at (888) 804-3536 or go to healthconsumer.org.

Accessible formats and other languages

If you have a disability, you may request this information in an accessible format, including large print, braille, audio, or an accessible electronic format. To receive it in another language, call (213) 250-4200, extension 3329. These services are free.