Financial Assistance
Boulder Community Health offers financial assistance through the Hospital Discounted Care, Qualified Charity Care Program (QCCP) and the hospital’s own We Care Charity Program. A snapshot of your current financial situation will be used to determine eligibility for assistance.
Boulder Community Health offers a Financial Assistance Program (FAP).
Eligibility for this program is determined by Total Family Income, insured status and amount due. If you are eligible for discounted care under the FAP, you will not be responsible for more than is generally billed by Medicare and all private health insurers for emergency or other medically necessary care.
The FAP and FAP application may be found below, or, you can request one to be mailed or emailed to you by calling customer service at 303-415-5300.
You may contact our Financial Counselors at 303-415-8115 or Customer Service at 303-415-5300 for information regarding eligibility for the programs that may be available to you, to request the FAP or FAP application be mailed to you, or if you need a Spanish translation of the FAP or FAP application.
To review our Financial Assistance and Patient Payment Responsibility Policy, click on an option below:
- Financial Assistance and Patient Payment Responsibility Policy (English)
- Asistencia Financiera y Responsabilidad de Pago del Paciente (Spanish)
Our Financial Counselors can help you apply for financial assistance.
Patient Rights - Hospital Discounted Care`
Patient Rights - Hospital Discounted Care (English)
Derechos del paciente: atención hospitalaria con descuento (Spanish)
Financial Assistance Application
Below is the financial assistance application you need to fill out when applying for financial assistance.
Financial Assistance application (English)
Solicitud de asistencia financiera (español)
Below is the financial assistance application you will review and sign once you are found eligible for the Qualified Charity Care Program (QCCP) and/or Hospital Discounted Care (HDC). This application is posted for regulatory purposes only. Our charity specialist will send you this application if you are found eligible for QCCP and/or HDC.
Please call 303-415-8115 before a scheduled hospital service or 303-415-5300 after an emergency visit.
For more on BCH's payment policies, visit our Pay My Bill page.
Debt Collection Policy
Plain Language Summary of the Financial Assistance Policy
To see our complete Financial Assistance and Patient Payment Responsibility Policy, please visit www.BCH.org. Boulder Community Health offers a Financial Assistance Program (FAP). Eligibility for this program is determined by Total Family Income and liauid assets (depending on the program), insured status and amount due. If you are eligible for discounted care under the FAP, you will not be responsible for more than is generally billed by Medicare and all private health insurers for emergency or other medically necessary care. The FAP and FAP application may be found at www. BCH.org. A paper copy of the FAP and FAP application can also be obtained at our facility located at 4747 Arapahoe, Boulder, CO 80303. You may contact our Financial Counselors at 303-415-8115 or Customer Service at 303-415-5300 for information regarding eligibility for the programs that may be available to you, to request the FAP or FAP application be mailed to you, or if you need a Spanish translation of the FAP or FAP application.
Resumen Sencillo de la Póliza de Asistencia Financiera
Para consultar nuestra póliza completa de la Responsabilidad de Pago del Paciente y Ayuda Financiera, por favor visite www.BCH.org Boulder Community Health ofrece un programa de asistencia financiera (FAP). Varios factores son considerados para ser elegible con éste programa como: el ingreso total de la familia , sus activos liquidos (dependiendo del programa), estado de seguro médico y el monto. Si usted califica para obtener servicios de cuidado bajo el descuento del programa FAP, no será responsable por más de lo que generalmente se cobra por Medicare y todos los seguros médicos privados, para atención médica de emergencia u otra asistencia médica necesaria. La solicitud para el programa FAP e información acerca del programa FAP se pueden encontrar en la página de internet www.BCH.org También se puede obtener la solicitud para el programa FAP e información acerca del programa FAP en nuestras instalaciones ubicadas en 4747 Arapahoe, Boulder, CO 80303. Puede comunicarse por teléfono con nuestros representantes financieros en la línea 303-415-8115 o 303-415-5300, para obtener información sobre los programas disponibles y sus criterios de elegibilidad, para pedir que le envíen la solicitud del programa FAP o si necesita una traducción en español de la solicitud del programa FAP.