Patient Billing & Financial Assistance

What To Expect

Step 1: You receive medical care at Santiam Hospital or one of our clinics.

Step 2: Insurance is billed for your services.

Step 3: Insurance pays. If insurance pays all charges, you will not receive any further communication from us.

Step 4: Any remaining charges are billed to you.

Step 5: Please pay the account in full within 30 days or contact us to set up a payment plan.

Step 6: If the account is not set up for a payment plan or paid in full, the account will be sent to an outside collection agency 30 days after the 5th statement. Payment delinquencies will not be reported to credit report entities and will not affect credit scores unless legal action is taken.

If you have any questions about your bill, or about our billing process please call our office at 503-769-9231 or send us an e-mail at patientaccounts@santiamhospital.org.

Santiam Hospital & Clinics understands that medical bills can be unexpected and may be difficult to pay. In order to assist with this burden, we offer financial assistance to our patients. Through this process an individual or family may qualify for a reduction in the cost of services partially or in full, even if you have health insurance.

No one will be denied access to services due to inability to pay and there is a discounted/sliding fee schedule available bases on family size and income.

Financial Assistance Policy & Plain Language Summary
Financial Assistance Policy

Política de Asistencia Financiera

Financial Assistance Plain Language Summary

Resumen en lenguaje sencillo de la asistencia financiera

Hospital Financial Assistance Notice for Patients

Información de asistencia financiera hospitalaria para pacientes

How do I apply?

• Apply online with MyChart. (MyChart login required.)
• Fillable application
• Downloadable application – once the application is filled out please submit it with any additional documents by mail to Santiam Hospital Financial Counselor Po Box 577 Stayton, OR 97383, by fax to 503-769-3472 or by email to patientaccounts@santiamhospital.org.
• Solicitud descargable – una vez que complete la solicitud, envíela con cualquier documento adicional por correo al Asesor Financiero del Hospital Santiam, Po Box 577 Stayton, OR 97383, por fax al 503-769-3472 o por correo electrónico a patientaccounts@santiamhospital.org.

The following documents may be requested:

• Documents used to verify income (if applicable):

• Current Pay Stub with Year-to-Date Information
• Social Security Award Letter
• Veteran Award Letter
• Retirement Statement
• Unemployment Statement
• Documents used to verify family size:
• Most recently filed tax return (if applicable)
• Additional information
• Any additional information that you would like us to know about your financial situation such as a financial hardship, excessive medical expenses, seasonal or temporary income, personal loss, or information explaining no income.
• If you have no proof of income or no income, please attach an additional page with an explanation.

When will I know the outcome of my application?
You will receive a determination letter in the mail within 21 days after receiving your completed application. If additional information or documentation is required to process the financial assistance application, you will be informed of those requirements.
 
Who can I contact with additional questions?
If you have questions or need assistance, please call our financial assistance specialist at 503-769-4572.

What does my financial assistance cover?

Financial Assistance covers services at Santiam Hospital as well as any of our affiliated clinics for medically necessary services.
 

The following local clinics/physicians that are not part of Santiam Hospital & Clinics, do not accept the Santiam Hospital & Clinics financial assistance determination:

• North Santiam Family Dentistry
• OHSU providers (various)
• Santiam Canyon Health
• Santiam Mobile Medicine
• Santiam Vision Source
• Stayton Chiropractic
• Stayton Dental
• Stayton Family Practice
• Sublimity Eyecare
• Virtual Radiology Providers (various)

Payment plans are available to all patients regardless of financial status.

The patient estimator tool allows you to receive an estimate on CMS mandated procedures.

To learn more, please click the link below. After clicking the link, please select Santiam Hospital & Clinics from the list of options to ensure you arrive at the correct Patient Estimator.

Patient Estimates