| | Legacy | Providence |
Eligibility for uninsured discount
(see exceptions below) |
Uninsured patients who have made payments for care received at Legacy Good Samaritan, Legacy Mt. Hood, or Legacy Emanuel on or since 12/7/01.
Patients must have resided in the Primary Service Area of one of the 3 Legacy hospitals for at least 6 months before receiving the care, unless they were receiving emergency treatment.
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Uninsured patients who have made payments for care received at any Providence Oregon hospital on or since 12/7/01.
Patients must have resided in the Primary Service Area of one of the Providence Oregon hospitals for at least 6 months before receiving the care, unless they were receiving emergency treatment. |
| Retroactive Uninsured Discount |
25% (retroactive rate ends 7/20/06) |
Same as Providence Preferred Rate (PPR). The PPR is 31.6% for its Portland-area hospitals and 10.8% at non-Portland hospitals. (3) |
| Exceptions to Eligibility for Retrospective Discount |
Uninsured patients that were already given a charity care discount are not eligible for a refund. |
Uninsured patients who received a bill of $500 or less are not eligible, unless in the aggregate the bill was greater than $1500. |
| Prospective Uninsured Discount |
15% (prospective rate applies after 7/20/06) |
Providence Preferred Rate at the respective Providence hospital during the previous year |
| Exceptions to eligibility for prospective discount |
Uninsured patients who have household income over $100,000 are not eligible. |
None |
| Uninsured Discount for Patients with Qualified Assets |
Uninsured patients with household assets exceeding $75,000 will receive a reduced refund or prospective discount: The amount of the refund or discount will be reduced by 25% household assets exceeding $75,000. |
Uninsured patients with household assets exceeding $75,000 will receive a reduced refund or prospective discount: The amount of the refund or discount will be reduced by 25% household assets exceeding $75,000. |
Charity Care discount
(i.e. second discount) |
Charity care discount is a % of the charges after the uninsured discount. It is based solely on uninsured patient's household income. See discount policy chart. (2) |
Charity care discount is a % of the charges after the uninsured discount. It is based solely on uninsured patient's household income. See discount policy chart. (1) |
| End Date for Prospective Discount and Charity Care discount |
For uninsured patients who qualify for charity care, the end date is 7/20/2010; for patients who qualify only for the uninsured discount (not for charity care) the end date is 7/20/2008. |
The end date for prospective discounts is 8/23/08. |
(1) This discount would be applied to the Providence Preferred Rate
(2) This discount would be applied to the Retroactive Legacy Uninsured Rate (25% initial discount) or the Prospective uninsured rate (15%)
(3) If Providence during any period has a discount plan that is more generous than that laid out in the settlement agreement, Providence will apply the more generous plan.
Source: Block et. al vs. Providence Health System and PHS-OR; Turner et. al vs. Legacy Health System
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