Help Paying Your Bill
Community Memorial Healthcare offers charity care and financial assistance to patients who are uninsured, underinsured, ineligible for government programs, or otherwise unable to pay for medically necessary care based on their individual financial situation. Every situation is different, and our advocates work with patients to find a reasonable solution. Your discount will be based on family size and yearly income according to the current Federal Poverty Guidelines. Financial assistance may consist of full write-off of charges, partial write-off of charges, or offering the patient other payment options.
To be eligible, patients must be a resident of Community Memorial Healthcare’s defined service area. This includes the areas surrounding Camarillo, Ojai, Ventura, Santa Paula, and Fillmore.
Download our Financial Assistance Policy & Application (English | Spanish)
Download Application Only (English | Spanish)
Payment source and patient’s ability to pay will be evaluated upon admission by a Community Memorial Financial Advocate. Patient Financial Services staff or a designee of Community Memorial will assist patients with reimbursement from local, state, and federal programs when there is no other source of payment. In the event that no third-party payment source is available, patients/guarantors will be provided with information on the Financial Assistance Program.
Application for Financial Assistance may be completed anytime throughout the revenue cycle process, when a self-pay balance comes due or the patient expresses that there is financial difficulty. The application process includes completing the financial assistance application and providing verification of documents.
After the completed application has been received, a letter of acceptance or non-acceptance for the program will be sent to the patient or guarantor within 15 days from the date of receipt. Verification may include, but not be limited to, the applicant’s most current federal tax return and 3 months current pay stubs. The applicant’s net worth and/or assets may be also used as a determining factor regarding financial assistance approval.
Self-employed patients are required to submit a Profit and Loss statement to verify income. Patients/guarantors who experience sudden and prolonged loss of income may qualify for the Financial Assistance Program based upon 3 months of recent (including current) pay stubs and/or documentation from sources such as Social Services, etc. confirming the claim of Loss of Income. Community Memorial Healthcare may request that the patient apply for government assistance through the Medi-Cal program.
Financial assistance debt reduction write-offs will be based on a sliding fee schedule utilizing the current United States Federal Poverty Level (FPL) guidelines, income, assets, family size, medical needs, and catastrophic costs. Financial assistance ranges between Medicare Rates and 100% and is available to all patients regardless of whether or not they have health insurance.
Financial assistance excludes cosmetic procedures and all charges will be reviewed for medical necessity. Maternity patients are excluded from this policy as Medi-Cal will assist with those cases. Eligibility is contingent upon patient cooperation with the application process. No patient eligible for financial assistance will be charged more for emergency or medically necessary care than Amounts Generally Billed.
Request for Financial Assistance
You will need to complete an application, submit all supporting financial documents, and mail it back to the Olivas address above or drop it off in person to Admitting at either of our hospital campuses. We provide both English and Spanish versions of the application.
You can also apply in person at 5855 Olivas Park Drive, Ventura, CA 93003, or call us at 805-948-5632 for questions or to have a free copy mailed to you.
Hospital Bill Complaint Program
The Hospital Bill Complaint Program is a state program, which 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 Hospital Bill Complaint Program. Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.
Authority cited: Section 127010, Health and Safety Code. Reference: Section 127410, Health and Safety Code.
