Intermountain Health offers financial assistance for patients who receive medical care
provided in Intermountain clinics and hospitals. The program is for most medical care
that a medical provider decides is needed. This program
only applies to bills with Intermountain hospital, clinics, and some healthcare
providers employed by Intermountain. Those in need of emergency care will never be
denied treatment or care if they do not have insurance or are unable to pay.
- Financial Assistance is determined on income and household size.
- People eligible for financial assistance will not be charged more for emergency
or other medically necessary care than the amounts generally billed to insured
people.
Amounts Generally Billed (AGB) – The amounts generally billed for emergency or other medically necessary care to individuals who have insurance covering such care. Information regarding AGB percentages and calculations may be obtained in writing and free of charge by sending a request to financial.assistance@r1rcm.com or by writing to Financial Assistance, P.O. Box 30193 Salt Lake City, UY, 4130. AGB is calculated using the “Look Back method” in accordance with 501R federal regulations..
Intermountain Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin,
age, disability, or sex. For more information, call 866-415-6556 (TTY:888-735-5906).
To apply, download and submit an application. Applications are provided above.
- If you receive (or plan to receive) medical care in an Intermountain hospital and have questions about financial assistance, please call 800-748-9175.
- If you receive (or plan to receive) medical care in an Intermountain clinic and have questions about financial assistance, call 866-415-6556.
- If you are interested in payment options, please call 866-665-2636.
- To apply for financial assistance in person, visit your local hospital or clinic where you receive services.