Norton Healthcare’s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.
As part of our mission, the Norton Healthcare Financial Assistance Policy covers hospital-based emergency or other medically necessary care to patients who cannot afford to pay and who qualify for financial assistance based on income, resources and family situation.
At Norton Healthcare and Norton Children’s, families with income equal to or less than 350% of the federal poverty level may be eligible for financial assistance. This expansion of eligibility makes financial assistance available to more middle-income families and individuals in our community.
In addition, applications can be made at any time.
The services covered under our financial assistance policy are offered at the following locations:
Expanded financial assistance policy at Norton Healthcare gives a Louisville man new hope and an opportunity for better health. Find out how you can apply.
You may qualify for free or discounted emergency or medically necessary care if you meet all of the following criteria:
To apply for financial assistance, you must submit an application and three months of bank statements for each bank account for the household. You may be also be asked to provide a copy of your last year’s tax return or other documents, as required by the financial assistance policy. Once a determination is made, you will receive a response from our financial assistance department. Provide all the information requested so that we may accurately assess your need for assistance that could help you get the care you need.
You also can get an application at any Norton Healthcare emergency department, or call customer service at (502) 479-6300 or (800) 874-3979 to request an application to be mailed to you for free.
Financial counselors at any of our hospitals can answer questions. You also can call Norton Healthcare customer service at (502) 479-6300 or (800) 874-3979.
Application for Financial Assistance
طلب التقدم للحصول عىل اإلعانة المالية الخاصة بنظام
PRIJAVA ZA FINANSIJSKU POMOĆ
SOLICITUD DE ASISTENCIA ECONÓMICA
ĐĂNG KÝ NHẬN HỖ TRỢ TÀI CHÍNH
OMBI LA USAIDIZI WA KIFEDHA KWA NORTON HEALTHCARE
NORTON HEALTHCARE 財務援助申請
आर्थिक सहायताको लागि Norton Healthcare आवेदन
UBUSABE BW’UBUFASHA BW’AMAFARANGA MU IVURIRO RYA NORTON
DEMANDE D’AIDE FINANCIÈRE À NORTON HEALTHCARE
ANTRAG AUF FINANZIELLE UNTERSTÜTZUNG DURCH NORTON HEALTHCARE
CODSIGA DARYEELKA CAAFIMAADKA NORTON EE GARGAARKA MAALIYADA
If you complete a downloaded application or a paper application, you can scan it and email it to FAP@nortonhealthcare.org.
You also can mail applications to:
Norton HealthcareSBO Financial Assistance, Dept. 14-7P.O. Box 35070Louisville, KY 40232-9972
"*" indicates required fields
THIS CERTIFIES THAT I REQUEST TO BE CONSIDERED FOR FINANCIAL ASSISTANCE AT NORTON HEALTHCARE.
I HEREBY AGREE to furnish Norton Healthcare with the information necessary to determine my eligibility for assistance with the medical bills resulting from the services I have received at their facilities. I understand that my physicians and other health care providers may have financial assistance policies that could assist me with the medical bills from those providers. As such, I authorize Norton Healthcare to provide a copy of my application to those providers who request it to assist them in determining whether I qualify for benefits under their financial assistance programs.
I certify that the information provided by me in this application is correct and true to the best of my knowledge and belief. I understand that if I give false information or withhold information in applying for assistance, my application will be denied and Norton Healthcare will continue to pursue collection of any outstanding balance due. In that instance, I may also be subject to prosecution for fraud.
I agree to notify Norton Healthcare of any changes to the information provided in this form including address, telephone number, and income.
If you aren’t eligible for help under the financial assistance policy, payment plan options are available. This could be the result of not meeting the eligibility requirements of if your care was not for a hospital-based emergency or otherwise medically necessary.
Call Norton Healthcare customer service at (502) 479-6300 or (800) 874-3979 for more information. Contact us as soon as you become aware you may need to set up a payment plan.
Norton Healthcare provides hospital-based emergency and other medically necessary care free of charge to all patients who meet the criteria for the Financial Assistance Policy. Patients who are eligible for financial assistance will not be charged more than the amounts generally billed to patients with insurance coverage. This includes care at Norton Healthcare’s six hospitals, plus Norton Children’s Medical Center, Norton Cancer Institute, Norton Cardiovascular Diagnostic Centers and Norton Diagnostic Centers.
Amounts Generally Billed (AGB)
Financial Assistance Policy
Plain Language Summary
Billing and Collections Policy
حساب المبلغ المفروض بشكل عام
ة اإلعانة سياس
ملخص بلغة مبسطة
سياسة الفوترة والتحصيل – خدمات الرعاية الطبية ال ُمقدمة بالمستشفيات
Izračun iznosa koji se obično naplaćuje
POLITIKA FINANSIJSKE POMOĆI
Sažetak jednostavnim jezikom
PRAVILO O FAKTURIRANJU I NAPLATI – BOLNIČKA MEDICINSKA SKRB
Popis pružatelja usluga
Cálculo de las cantidades generalmente facturadas
POLÍTICA DE ASISTENCIA ECONÓMICA
Resumen en lenguaje sencillo
POLÍTICA DE FACTURACIÓN Y COBRO – ATENCIÓN MÉDICA HOSPITALARIA
Listado de proveedores
Tính Toán Số Tiền Được Lập Hóa Đơn Thông Thường
CHÍNH SÁCH HỖ TRỢ TÀI CHÍNH
Tóm tắt ngôn ngữ đơn giản
CHÍNH SÁCH HÓA ĐƠN VÀ THU PHÍ – CHĂM SÓC Y TẾ TẠI BỆNH VIỆN
Danh sách nhà cung cấp
SERA YA USAIDIZI WA KIFEDHA
Muhtasari wa Usaidizi wa Kifedha kwa Huduma za Dharura za Hospitali au Hudumaza Matibabu Zinazohitajika za Kiafya
SERA YA MALIPO NA MAKUSANYO – HUDUMAYA MATIBABU YA HOSPITALINI
Orodha ya Watoa Huduma
計費與收款政策 – 醫院醫療護理
आर्थिक सहायता नीर्त
अèपतालमा आधािरत आकिèमक वा िचिक×सकीय Ǿपमा आवæयक हेरचाहको लािग आिथकर् सहायताको साराश
बिबिङ र सङ्किन नीबि – अस्पिािमा आधाररि बिबित्सा हेरिाह
AMABWIRIZA AGENGA ITANGWARY’UBUFASHA BW’AMAFARANGA
Incamake y’ubufasha bw’amafaranga ku buvuzi buwhutirwa butagirwa mu bitarocyangwa ubuvuzi bwa ngombwa
AMABWIRIZA AGENGA IKORWA RYAFAGITIRE N’IKUSANYWA RY’AMAFARANGA –UBUVUZI BUTANGIRWA MU BITARO
POLITIQUE D’AIDE FINANCIÈRE
Résumé de l’aide financière pour les soins hospitaliers d’urgence ou médicalementnécessaires
POLITIQUE DE FACTURATION ETRECOUVREMENT – SOINS MÉDICAUX ENHÔPITAL
Liste des fournisseurs
RICHTLINIE ZUR FINANZIELLENUNTERSTÜTZUNG
Informationen zur finanziellen Unterstützung für die Notfall- oder anderweitigmedizinisch notwendige Versorgung im Krankenhaus
RICHTLINIE ZUM ABRECHNUNGS- UNDINKASSOVERFAHREN – MEDIZINISCHEVERSORGUNG IM KRANKENHAUS
SIYAASADA KAALMADA DHAQAALAHA
Soo koobida Kaalmada Dhaqaalaha Dagdagga ee Isbitaalka ku Saleysan amaDaryeelka Caafimaadka Lagama maarmaanka ah
SIYAASADA URUURINTA IYO BIILDALLACSIINTA – DARYEELKACAAFIMAADKA KU SALEYSAN ISBITAALKA
Select an appointment date and time from available spots listed below.