Schedule 2: CoxHealth Financial Assistance Income and Discount Schedule

Table I: Family Income Ranges for Financial Assistance

Additional Information

  1. CoxHealth may make a presumptive determination that a patient is eligible for financial assistance based on Medicaid eligibility.
  2. FPL (Federal Poverty Level) is determined yearly by the U.S. Department of Health and Human Services.

Financial Assistance – Table II: Amount of Discount and Patient Responsibility

Terminology

  • Copay - Nominal fee due from the patient before a discount is applied
  • Cost Share % - Percentage of balance remaining for which patient is responsible after copay is applied
  • Discount - Percentage of balance discounted (written off) after the copay is applied
  • FPL - Federal Poverty Level - determined yearly by U.S. Department of Health and Human Services
  • NHSC Site - Clinic sites who participate in the National Health Service Corp program which supports funding for healthcare professionals in health professional shortage areas
  • Nominal Fee - Small fee due from patient in lieu of a copay and cost share %

Updated 07/2024