900 Ridge Street
Stoughton, WI 53589
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Stoughton Health is committed to assisting those who may not have adequate insurance coverage through our financial aid program.
Uninsured Patient Discounts
Patients who are not covered by Medicare, Medicaid or other insurance are automatically given an upfront discount of 39% off the charges on their hospital bill. There are no application requirements to receive this reduction in charges.
For uninsured patients, our Certified Application Counselors are available to help you sign up for the Health Care Reform Act health insurance.
For those who qualify, our financial aid program may provide additional reduction or no charge for patients who have no insurance or are unable to pay the portion of their bill not covered by their insurance. The discounts offered range from 5% to 100% of the patient’s bill depending upon income and family size. The program applies to hospital charges only and does not cover clinic or physician charges.
The discount is provided after an analysis of the circumstances surrounding each patient’s ability to pay, including non-qualification for any county, state or federal programs. This feature of the financial aid program is not an entitlement.
To be considered for this discount, you must complete a financial aid application and return it along with the requested supporting documentation listed below. Additionally, you must meet income eligibility guidelines established by the hospital. For more information regarding this program, please call (608) 873-2257.
As verification of income, a copy of the applicant’s most recent Federal Income Tax return is required. As further proof of income, copies of the applicant’s three most recent pay stubs and bank statements must also accompany the financial aid application. Hospital personnel may require other verification of income or assets where deemed necessary.
Financial Assistance Application & Policy
Financial Assistance Application
- Financial Assistance Application
- Asistencia Financiera – Financial Assistance Application (Spanish)
- Asistenca Financiare – Financial Assistance Application (Albanian)
Financial Assistance Policy
- Financial Assistance Policy
- Política de asistencia financiera – Financial Assistance Policy (Spanish)
- Rregullorja për Asistencë Financiare – Financial Assistance Policy (Albanian)
Plain Language Summary
- Plain Language Financial Assistance Policy Summary
- Resumen de la política de asistencia financiera en lenguaje sencillo – Plain Language Financial Assistance Policy Summary (Spanish)
- Përmbledhje e tekstit të Rregullorës për Asistencë Financiare – Plain Language Financial Assistance Policy Summary (Albanian)