Physicians / APPs Only
|
Employees Only
Click here for more info
on Coronavirus (COVID-19), vaccines, and visitor restrictions.
Click here for more info
on Coronavirus (COVID-19), vaccines, and visitor restrictions.
MENU
Jobs
Job Listings
Physician Opportunities
Nurses
Volunteer
Find a Physician
Employed Physicians
All Physicians
Patient & Visitor Info
Visitor Info
Baby Gallery
Bill Payment
Directions
Financial Assistance
Gift Shops
Health Calendar
Medical Records
MyChart
Nominate a Star
Patient Price Info
Patient Relations
Pharmacy
Pre-Registration
Request a Prayer
Scheduling Questions
Send an eCard
Spiritual Services
Support Groups
Thank a Nurse
Volunteering
Worker's Comp
Health Services
Emergency
Brain, Spine, Stroke
Cancer Care
Heart and Vascular
Orthopedics
Sports Medicine
Maternity
Mental Health
Weight Loss
See All >>
Locations
Hospitals
Emergency
Urgent Care
Cardiac Diagnostic
Digital Mammography
Lab
Outpatient Rehab
Pharmacy
Radiology
Sleep Centers
Sports Medicine
Wound Centers
See All >>
About Us
About KHN
Leadership
Mission & Vision
Community Health
Kettering History
Charles F. Kettering
Awards
Directions
Media Room
Resource Library
Ways to Give
Education
Advanced Practice Providers
BLS/ACLS Renewals
Continuing Medical Education (CME)
Kettering College
Kettering Medical Education
Grandview Medical Education
Soin Medical Education
Nurse Residency
Pharmacy Residency
Billing
Contact Us
Kettering Health Network (ketteringhealth.org)
Health Plans
Directions
Request a Prayer
Send an eCard
Ways to Give
×
Outpatient Scheduling Questions
Where is my procedure?, What time is my procedure?, Are there any specific preparations?, Can I change the date and time?... Or any other questions related to your already scheduled procedure.
This form is NOT for initial scheduling purposes.
If you need to schedule an outpatient procedure, please call
(937) 384-4510
.
* Patients Name:
* Your Email:
* Patient's Doctor:
* Question:
Financial Assistance
A-
A
A+
Text Size
Financial Assistance
FAQs
2020 Charity Scale
- Updated: 01-20-2020
Patient App for Financial Assistance
Aplicación para pacientes para asistencia financiera
- Updated: 04-01-2019
FAP - Policy
FAP - Política
- Updated: 06-15-2018
FAP - Plain Language
FAP - Lenguaje sencillo
- Updated: 06-15-2018
FAP - Non Participating Providers
FAP - Proveedores No Participantes
- Updated: 11-16-2020
AGB Definition
AGB Definición
- Updated: 06-15-2018
Patient Billing Policy
Política de facturación al paciente
- Updated: 06-15-2018
Billing
KHN Community Needs Assessment
Federal Poverty Guidelines (FPL)
MyChart
KHN Customer Service
Mon-Fri, 8am-7pm
(866) 319-2981
Financial Assistance
FAQs
---------------------------------------------------
2020 Charity Scale - Updated: 01-20-2020
Patient App for Financial Assistance - Updated: 04-01-2019
Aplicación para pacientes para asistencia financiera - Updated: 04-12-2018
FAP - Policy - Updated: 06-15-2018
FAP - Política - Updated: 01-01-2018
FAP - Plain Language - Updated: 06-15-2018
FAP - Lenguaje sencillo - Updated: 06-15-2018
FAP - Non Participating Providers - Updated: 11-16-2020
FAP - Proveedores No Participantes - Updated: 11-16-2020
AGB Definition - Updated: 06-15-2018
AGB Definición - Updated: 06-15-2018
Patient Billing Policy - Updated: 06-15-2018
Política de facturación al paciente - Updated: 06-15-2018
---------------------------------------------------
Billing
KHN Community Needs Assessment
Federal Poverty Guidelines (FPL)
MyChart
Frequently Asked Questions
How do I apply for Financial Assistance?
Our Financial Assistance Application is located in the FORMS section of this webpage. Simply fill it out and return it to our billing office for processing.
If I don't qualify for financial assistance, what are my options?
Even if you don't qualify for financial assistance, you may set up payment plans at any time by calling our Customer Call Center.
937-384-4788
Do I qualify for assistance if I have insurance coverage?
Patients with insurance may qualify for assistance if their household is under the Federal Poverty Level.
What are the 2020 Federal Poverty Guidelines?
https://www.federalregister.gov/documents/2020/01/17/2020-00858/annual-update-of-the-hhs-poverty-guidelines
Will this financial assistance help with doctor bills?
No. The KHN Financial Assistance Program is for hospital charges only.
Covered facilities
Kettering Medical Center
Sycamore Hospital (includes KBMC)
Soin Hospital
Grandview Hospital
Southview Hospital
Fort Hamilton Hughes Hospital
Kettering Behavioral Medicine Center
For a list of NON-covered providers please
click here
.
Patients & Visitors
Visitor Info
Baby Gallery
Billing
Directions
Financial Assistance
Find a Physician
Gift Shops
Medical Records
MyChart
Patient Price Information
Patient Relations
Pharmacy
Pre-Registration
Request a Prayer
Scheduling Questions
Send an eCard
Spiritual Services
Support Groups
Thank a Nurse
Volunteer
Worker's Comp
Health Services
Brain, Spine & Stroke
Breast Health
Cancer Care
Emergency
Heart and Vascular
Maternity
Mental Health
Orthopedics
Sports Medicine
Weight Loss
See All >>
Jobs
Job Listings
Physician Opportunities
Nurses
Volunteering
Locations
Hospitals
Emergency
Urgent Care
Cardiac Diagnostic
Digital Mammography
Lab
Outpatient Rehab
Pharmacy
Radiology
Sleep Centers
Sports Medicine
Wound Centers
See All >>
Education
Advanced Practice Providers
BLS/ACLS Renewals
Continuing Medical
Education (CME)
Kettering College
Med Ed - Kettering
Med Ed - Grandview
Med Ed - Soin
Nurse Residency
Pharmacy Residency
Network Information
About Us
Kettering:60
Media Room
Resource Library
Privacy Practices
Terms of Use
Access
Physicians Only
Employees Only
Vendors Only
Kettering Care Continuum Only
© 2021 Kettering Health
All Rights Reserved.
Connect With Us
Ways to Give
Contact Us
Facebook
Linkedin
YouTube