Fremont Hospital — Financial Assistance & Charity Care

Do you qualify for FREE care?

Fremont Hospital provides free (charity) care to patients at or below 400% of the Federal Poverty Level. If your yearly household income is at or below the amount for your household size, you likely qualify for 100% free care:

Discounted care

Patients up to 500% of the Federal Poverty Level qualify for discounted care — you'd owe no more than the amount generally billed to insured patients:

What you'll need to apply

• Completed Financial Assistance application
• Recent pay stubs (within a 6-month period before or after first billing, or when preservice application is submitted)
• Copy of recent Federal Income Tax Return (Form 1040) for members of the Patient Family
• If paid in cash: a letter from the employer providing rate of pay
• If no employer/employee arrangement: other written documentation of in-kind income (case-by-case)

How to apply

When you call, say: “I'd like to apply for financial assistance (charity care) for a hospital bill. Can you send me the application and tell me which documents I need?”

Based on this hospital's policy effective 08/20/2025.